ISSN:1357-8170    

DOI:10.1002/pdi.1960090202

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractRetinal photography using a non‐mydriatic fundus camera has been proposed as a means of screening for diabetic retinopathy. We describe a screening programme which uses this technique and is run by liaison between a Diabetic Day Unit and Ophthalmology Department within a District General Hospital. A 10‐month period of screening is reported during which time 639 patients were photographed. Of these, 110 patients (17.2%) were referred for clinical eye examination of which 100 attended (15.6%), 27 patients (4.2%) subsequently underwent laser retinal photocoagulation. Of these, 22 received focal treatment and five required panretinal photocoagulation, nine cases (1.4%) were submitted to fundus fluorescein angiography. In 12 patients (1.9%), non‐diabetic ocular disease was det

ISSN:1357-8170    

DOI:10.1002/pdi.1960090203

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractA diet kit was developed to enable non‐dietitian health professionals to provide standardised introductory diet advice to people with NIDDM who were awaiting consultation with a dietitian and was trialled by medical practitioners and diabetes educators. Both groups responded favourably to the kit. Average time to apply the kit was 20 minutes for the medical practitioners and 24 minutes for educators. The effect of providing initial diet advice with the kit was assessed in 53 kit‐instructed patients. The majority felt that they had been given sufficient preliminary diet advice and were able to make several changes to their diet by the time of the visit to the dietit

ISSN:1357-8170    

DOI:10.1002/pdi.1960090204

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractSeventy NIDDM patients (40⩽65y, 30>65y) established on metformin for a mean of five years were studied; in both groups, plasma metformin levels correlated with the serum creatinine concentration but bore no relationship to the age of the patients. There was no correlation between age and the postprandial blood lactate levels. Where the serum creatinine concentration was less than 120μmol/1 in patients aged 65y or less, and 140μmol/1 in those over 65y, then plasma metformin levels were in the accepted therapeutic range (1–5μg/ml) and post‐prandial blood lactate levels were not elevated to any clinically significant degree (mean: 1.66mmol/l ⩽65y, 1.53mmol/l>65y, normal range 0.3–1.4mmol/l). Selecting patients by renal function as estimated by serum creatinine rather than by age alone is recommended for metfo

ISSN:1357-8170    

DOI:10.1002/pdi.1960090205

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractFifteen diabetic Muslim patients were studied to assess diabetic control during the fasting of Ramadan and the changes in the various haematological and biochemical blood parameters. No specific instructions were given to adjust their medications during the fast: six considered their diabetic control unchanged; seven improved; and two worsened. Mean weight fell from 69.1 to 68 kg (NS). Six mild episodes of hypoglycaemia were reported. No patient showed ketonuria and none needed admission to hospital. Plasma glucose and serum triglycerides fell with fasting, serum fructosamine and cholesterol levels did not alter significanly.Conclusions: most diabetics can safely fast but more medical attention to adjust their medication by increased dosage in the evening to combat hyperglycaemia and reduced dosage in early morning to prevent hypoglycaemia.

ISSN:1357-8170    

DOI:10.1002/pdi.1960090206

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960090207

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960090208

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960090209

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960090210

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960090212

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY