ISSN:1357-8170    

DOI:10.1002/pdi.1960110402

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960110403

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960110404

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960110405

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractThe Cholestech L‐D‐X lipid analyser (LDX) is one of the first fully automated desktop analysers to determine serum high‐density‐lipoprotein cholesterol (HDL‐C) concentration, an important measurement for assessing dyslipidaemia, particularly in patients with non‐insulin‐dependent diabetes mellitus. We compared results of total cholesterol (TC), triglyceride (TG) and HDL‐C concentrations measured by the LDX and by a standard (DAX) laboratory analyser from serum obtained from 40 patients in our diabetic clinic. The mean differences between the concentrations measured were not statistically significant, there being a very close correlation between methods (TC: LDX = 0.98. DAX + 0.06, r = 0.98, p<0.01; TG: LDX = 1.01. DAX + 0.05, r = 0.99, p<0.01 and HDL ‐C: LDX = DAX + 0.03, r = 0.97, p<0.01). Random error assessed by analysis of variance was minimal. We conclude that the Cholestech L‐D‐X analyser may be useful for providing rapid and accurate measurements of serum lipid profiles, particularly in patients in whom measuring HDL‐C concentration is important. The small size, speed of analysis and simplicity of use of the LDX make it an ideal instrument for utilisation in the diabetes clinic and l

ISSN:1357-8170    

DOI:10.1002/pdi.1960110406

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractLong distance air travel which involves crossing time zones can cause problems with insulin dosage and timing. During the summer of 1993, 16 insulin‐treated patients who sought advice about crossing time zones were advised to change to a pre‐meal short‐acting insulin regimen during their flight. Patients taking twice‐daily insulin were individually advised and took between 15% and 20% of their total daily dose as short‐acting insulin with each main meal. No intermediate‐or long‐acting insulin was given. They were encouraged to monitor blood glucose levels frequently, to make minor adjustments where necessary and to return to their usual regimen when their daily routine had returned to normal. Patients found this system easy to apply and were satisfied with it. No significant problems wer

ISSN:1357-8170    

DOI:10.1002/pdi.1960110407

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractGlycaemic control is often assessed using a random blood glucose measurement in patlents attending for diabetes review in specialist clinics. This measurement is susceptible to manipulation by patients and the aim of this study was to determine the extent to which patients modify their behaviour to influence their random blood glucose measured at the review clinic. Four hundred and ninety eight patients attending the Diabetes Review Clinic of the Royal Infirmary were asked to complete a questionnaire about any self‐imposed dietary changes or alteration of medication which they observed prior to attending for review. One third of all patients admitted to either eating less for a few days before attending the clinic, reducing caloric intake on the day of the review or altering the doses of their hypoglycaemic agents. Random blood glucose monitoring in the setting of an outpatient review clinic may therefore be of limited value in assessing glycaemic contro

ISSN:1357-8170    

DOI:10.1002/pdi.1960110408

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractThe prevalence of diabetes increases with age and with increasing age and fralty many elderly people move into residential care. An audit of diabetes care was carried out in 25 trail diabetic patients in residential care comparing them with 25 diabetic patients living in their own homes. The two groups were matched for age, sex and treatment type. Those in residential care received fewer services than those in their own homes, in terms of: annual review (44% vs 84%, p= 0.008); access to a chiropodist (60% vs 96%, p=0.006); an optician (36% vs 70%, p=0.01); a dietitian (48% vs 60%, NS). No significant differences in complication rates were found though more than half in both groups had cataracts. Mean HbA1cand BMI were not significantly different between the two groups. These findings suggest that the provision of diabetes care to frail elderly diabetic patients in residential care is relatively poor, and reappraisal of the provision of health care in this group is needed.

ISSN:1357-8170    

DOI:10.1002/pdi.1960110409

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960110410

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractBrittle diabetes is characterised by recurrent episodes of hypo or hyperglycaemia which constantly interrupt normal life patterns. Most studies have shown that brittle behaviour resolves with time, but may persist against a background of poor glycaemic control. We report the case of a young woman who suffered six years of recurrent ketoacidosis which resolved in 1985 with pregnancy. Since then she has maintained good glycaemic control, but developed recurrent ketoacidosis in 1988/89 and again in 1992 in response to stressful life events; the brittle behaviour stopped with resolution of the life events. This unusual pattern of brittle behaviour indicates that those patients regarded as having ‘recovered’ from brittle diabetes may relapse in response to stressful stim

ISSN:1357-8170    

DOI:10.1002/pdi.1960110411

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY