MJA Practice Essentials - 2: Recent advances in therapy of diabetes - Endocrinology

Couper, Jennifer J. and Prins, Johannes B. (2003) MJA Practice Essentials - 2: Recent advances in therapy of diabetes - Endocrinology. Medical Journal of Australia, 179 8: 441-447.

Author Couper, Jennifer J.
Prins, Johannes B.
Title MJA Practice Essentials - 2: Recent advances in therapy of diabetes - Endocrinology
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
Publication date 2003-10-20
Sub-type Article (original research)
Volume 179
Issue 8
Start page 441
End page 447
Total pages 7
Place of publication Sydney
Publisher Australasian Medical Publishing Co Ltd
Collection year 2003
Language eng
Subject C1
321004 Endocrinology
730105 Endocrine organs and diseases (incl. diabetes)
Formatted abstract
* As suboptimal blood glucose control has a lasting harmful effect even if control improves later, intensive insulin therapy to minimise hyperglycaemia is now recommended for all patients with type 1 diabetes.

* The new rapid- and long-acting insulin analogues offer more physiological insulin profiles than traditional insulin preparations.

* Continuous insulin infusion (“pump therapy”) may provide a solution for some patients with frequent hypoglycaemia or hypoglycaemic unawareness.

* Continuous blood glucose monitoring reveals postprandial hyperglycaemia and asymptomatic nocturnal hypoglycaemia and may be especially useful for programming overnight basal insulin rates for pump therapy.

* In type 2 diabetes, management should change with disease progression; introduction of insulin should not be delayed if metabolic control becomes suboptimal.

More individualised and physiological therapy is now possible
Keyword Medicine, General & Internal
Subcutaneous Insulin Infusion
Quality-of-life
Metabolic-control
Type-1
Mellitus
Hypoglycemia
Adolescents
Children
Complications
Management
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
2004 Higher Education Research Data Collection
School of Medicine Publications
 
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Created: Wed, 15 Aug 2007, 01:39:15 EST