ISSN:1357-8170    

DOI:10.1002/pdi.1960010202

出版商:John Wiley&Sons, Ltd.    

年代:1984

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960010203

出版商:John Wiley&Sons, Ltd.    

年代:1984

数据来源: WILEY

摘要:

AbstractThe Trustees of the King Edward's Hospital Fund for London are making an Award of £350 for the best essay relating to diabetes, by a non‐medical health professional, to be submitted to Practical Diabetes.The judges will be nominated jointly by the King's Fund and the Editorial Board of Practical Diabetes. The Award will be made in November 1985 and the winning essay will be published in the January 1986 issue of Practical Diabetes.In choosing the winning essay, particular emphasis will be placed by the judges on originality of subject and treatment, as well as the feasibility and significance for patient care of the conten

ISSN:1357-8170    

DOI:10.1002/pdi.1960010204

出版商:John Wiley&Sons, Ltd.    

年代:1984

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960010205

出版商:John Wiley&Sons, Ltd.    

年代:1984

数据来源: WILEY

摘要:

AbstractA recent study of our diabetic outpatients demonstrated major deficiencies in patients' knowledge of their disease. As a result of this work, a survey was carried out among medical and nursing staff at this hospital. A 36‐item multiple‐choice questionnaire was completed, covering aspects of diabetes such as: basic knowledge, insulin, diet, and hypo‐ and hyperglycemia. Deficiencies in knowledge were shown in medical and nursing staff, although there were minimal differences between doctors and nurses and between each subgroup of nurse. Aspects poorly understood included: insulin manipulation during illness, exercise and ketonuria; and basic fundamentals of diet and carbohydrate exchange. The deficiencies shown by staff are similar to those shown by pat

ISSN:1357-8170    

DOI:10.1002/pdi.1960010206

出版商:John Wiley&Sons, Ltd.    

年代:1984

数据来源: WILEY

摘要:

AbstractA major cause of unreliable and variable insulin absorption may be ‘scar’ formation at the site of repeated injection, revealed as lipohypertrophy. 60 patients with poor diabetic control (HbA1, ⪖11%), increased insulin requirements (⪖1u/kg/24 hrs) and poor injection sites were initially studied. Intensive reeducation improved 34 patients within 2 months; 26 patients continued to be poorly controlled. These patients were further studied following re‐instruction in injection technique and prescription of ‘disposable’ injection equipment.Analysis of BM 20–800 readings, HbA1, and insulin dosage was performed at change‐over, 2 months, 6 months and 12 months. Mean daily dosage fell from 83u/24 hrs initially to 51u at 2 months, 53u at 6 months and 47u at 12 months. At the same time intervals, mean HbA1was 12.0%, 10.4%, 10.7%, 10.1% (P<0.05), frequency of symptomatic hypoglycemia per week was 2.0, 0.5, 0.4, 0.6 (P<0.01) and BM 20‐800 stick readings ⪖22 mmol/l were 5.0, 1.0, 0.0, 0.5 (P<0.01). Specific instruction on injection technique with disposable equipment produced improved control with less frequent hypoglycemic episodes and reduced insulin requirements. Strict attention to injection sites impr

ISSN:1357-8170    

DOI:10.1002/pdi.1960010207

出版商:John Wiley&Sons, Ltd.    

年代:1984

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960010208

出版商:John Wiley&Sons, Ltd.    

年代:1984

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960010209

出版商:John Wiley&Sons, Ltd.    

年代:1984

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960010210

出版商:John Wiley&Sons, Ltd.    

年代:1984

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960010211

出版商:John Wiley&Sons, Ltd.    

年代:1984

数据来源: WILEY