Parameters of Good Control in Diabetes Mellitus

Danowski, T. S.; Ohlsen, P; Sunder, J. H.

doi:10.2337/diacare.3.1.88

Cited by 20 publications

(3 citation statements)

References 3 publications

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“…However, for most insulin-dependent diabetic patients, blood glucose estimates, together with urine tests for acetone, permit more precise selection of insulin dosages. 13 …”

Section: Comparisons Of Blood Glucose Levels With Results Of Three Typesmentioning

confidence: 97%

Discrepancies Between Glycosuria and Home Estimates of Blood Glucose in Insulin-treated Diabetes Mellitus

Ohlsen¹,

Danowski²,

Rosenblum³

et al. 1980

Diabetes Care

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Glycosuria can be a misleading indicator of blood or plasma glucose levels. Thus glycosuria may be present when blood glucose levels are within the normal fasting or postprandial range, and it may be absent when the blood glucose is distinctly above normal. In such patients the blood glucose must be measured, preferably by the patient, as a guide to insulin and other therapy. However, urine glucose tests are valid indicators in a minority of patients and are essential in all patients for the detection of acetone.

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“…However, for most insulin-dependent diabetic patients, blood glucose estimates, together with urine tests for acetone, permit more precise selection of insulin dosages. 13 …”

Section: Comparisons Of Blood Glucose Levels With Results Of Three Typesmentioning

confidence: 97%

Discrepancies Between Glycosuria and Home Estimates of Blood Glucose in Insulin-treated Diabetes Mellitus

Ohlsen¹,

Danowski²,

Rosenblum³

et al. 1980

Diabetes Care

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“…Such automated readers were initially targeted at health-care workers for use at the bedside or clinic but the potential for use by patients for monitoring glycaemia was soon realized and steadily increased from 1978 onwards. 5–7 In acknowledgement of the expanding interest in self-monitoring, the first consensus statement on SMBG by the American Diabetes Association was produced in 1987. 8 This expansion in self-monitoring was facilitated by technology advances resulting in smaller, more portable metres that were easier to use and generated a more rapid result.…”

Section: Historymentioning

confidence: 99%

Self-monitoring of blood glucose in diabetes: is it worth it?

O’Kane¹,

Pickup

2009

Ann Clin Biochem

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Self-monitoring of blood glucose (SMBG) is advocated as a valuable aid in the management of diabetes. The volume and cost of monitoring continues to increase. SMBG has a number of theoretical advantages/disadvantages which might impact on treatment, outcome and wellbeing. Investigating and quantifying the effect of self-monitoring in a condition where selfmanagement plays a central role poses major methodological difficulties because of the need to minimize confounding factors. Despite the absence of definitive evidence, some situations where monitoring is generally accepted to be beneficial include patients on insulin, during pregnancy, in patients with hypoglycaemia unawareness and while driving. An area of controversy is the role of monitoring in non-insulin-requiring type-2 diabetes where observational and controlled studies give conflicting results. The available evidence does not support the general use of monitoring by all patients with type-2 diabetes, although further research is needed to identify specific subgroups of patients or specific situations where monitoring might be useful. The best use of SMBG in patients with type-2 diabetes might be for those receiving insulin and those on sulphonylurea drugs. The impact of monitoring on patient wellbeing must also be considered, with some studies suggesting adverse psychological effects. Given the large increase in the prevalence of type-2 diabetes, it will be important to define the role of SMBG so that resources can be used appropriately. Presently, the widespread use of SMBG ( particularly in type-2 diabetes patients) is a good example of self-monitoring that was adopted in advance of robust evidence of its clinical efficacy.

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“…Η ανίχνευση της γλυκόζης στα ούρα έχει μειονεκτήματα που είναι γνω στά στους ασθενείς από χρόνια. Τα αποτελέσματα δεν αντιπροσωπεύουν τα επίπεδα της γλυκόζης στο αίμα (Malone et al 1976, Danowski et al 1980. Γι' αυτό η ρύθμιση του διαβήτη γίνεται σύμφωνα με τα επίπεδα της γλυκόζης στο αίμα.…”

Section: νιιιο αυτοελεγχοι του διαβητη και η σημασια της αγωγης υγειαςunclassified

Θεραπευτικη Αγωγη Υγειας Διαβητικων. Αξιολογηση Εκπαιδευτικου Προγραμματος

Lemonidou¹,

Λεμονίδου²

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Στη μνήμη του πατέρα μου Στη μητέρα μου Και στους δασκάλους μου «Η έγκριση διδακτορικής διατριβής από το τμήμα Νοσηλευτικής Πανεπιστημίου Αθηνών δεν σημαίνει και αποδοχή των γνωμών του συγγραφέα». Σχετικές οι διατάξεις του όρθρου 50 του νόμου 1268/82 σε συνδιασμό με τις διατάξεις του οργανισμού του Πανεπιστημίου Αθηνών άρθρο 202 παρ. 2 του νόμου 5343.

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Parameters of Good Control in Diabetes Mellitus

Cited by 20 publications

References 3 publications

Discrepancies Between Glycosuria and Home Estimates of Blood Glucose in Insulin-treated Diabetes Mellitus

Discrepancies Between Glycosuria and Home Estimates of Blood Glucose in Insulin-treated Diabetes Mellitus

Self-monitoring of blood glucose in diabetes: is it worth it?

Θεραπευτικη Αγωγη Υγειας Διαβητικων. Αξιολογηση Εκπαιδευτικου Προγραμματος

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