ISSN:1357-8170    

DOI:10.1002/pdi.1960110602

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960110603

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960110604

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960110605

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractFive patients are described who experienced generalised cutaneous reactions, urticarla and itching, after Injecting varlous modern human insulln preparations. This allergy was not due to the Insulin, but to some of the non‐Insulin components of Insulin solutions. Prick‐skin testing Identified the specific allergen in each patient; In three cases, protamine. Change to another human insulin preparation without the allergen in its constltuents resolved the symptoms in each pati

ISSN:1357-8170    

DOI:10.1002/pdi.1960110606

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractA Clinical Assistant rotation in the diabetes clinic lasting four months was offered to general practitioners, with a view to giving “hands‐on” experience in diabetes care.Six general practitioners have completed the scheme so far. The general practitioners spent time with the diabetes physician, dietitian, chiropodlst, specialist nurse and also saw the patients themselves. A visual analogue scale was used to assess their confidence before and after the course.Confidence scores before: after, and range of mean () were: neuropathic assessment 3.5 (2−4): 7.5 (5−9), assessment of retinopathy 2.5 (1−3): 6.1 (5−8), relevance of blochemical tests 4.3 (2−7): 7.8 (7−8), advice on diet 4.6 (4−5): 7.3 (4−8), use of oralhypoglycaemics 3.8 (3−5): 7.3 (6−8), knowledge of insulins 2.8 (1−4): 6.3 (5−8). Patient educational topics included action of insulins 4.5 (2−6): 7.5 (5−10), action of tablets 4.6 (3−6): 7.8 (6−10), blood glucose monitoring 5.1 (4−6): 8.1 (5−10) and foot care 4.6 (1−8): 7.8 (4−10).A structured rotation for general practitioners for four months through the diabetes clinic improved their confidence in education,

ISSN:1357-8170    

DOI:10.1002/pdi.1960110607

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractDespite being ‘taught’ the importance of self monitoring of blood glucose (SMBG) in the tight control of diabetes, significant numbers of patients with diabetes either never start doing SMBG or abandon it. This paper describes a qualitative study aimed at exploring any attitudinal differences amongst 48 patients, all of whom were taking insulin for their diabetes, but of whom 28 could be defined as carrying out SMBG and 20 as not. The two main findings were that: (a) there are strong and identifiable differences between the groups; and (b) these differences are predominantly psychological rather than mechanical in nature—that is, the usually ascribed reasons for poor testing frequency (such as messiness and soreness), do not apply to non‐testers. The central message was that testers make a direct connection between SMBG and diabetic control, while non‐testers do not. We need therefore to devise ways of teaching SMBG which convey this c

ISSN:1357-8170    

DOI:10.1002/pdi.1960110608

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractThe relationships between daily insulin dose, body weight, age, sex and glycosylated haemoglobin (HbA1) were explored in a group of 198 insulin‐dependent (IDDM) diabetics of at least five years' duration. Insulin dose was positively correlated with body weight (p<0.001), and negatiely related to age (p<0.005). Doses in units/kg were also higher in males when compared with females (0.76 ± 0.25 v 0.61 ± 0.20 ± u/kg, p<0.001). There was no correlation between insulin dose and HbA1.Higher insulin requirements in males, a positive relationship with body weight, together with declining requirements with age, suggests a possible dependence of insulin dose on lean body mass. The lack of relationship between insulin dose and HbA1is perhaps disappointing, but may reflect the many factors affecting insulin absorption and action, as well as perhaps the destabilising effects of ‘over‐insulin

ISSN:1357-8170    

DOI:10.1002/pdi.1960110609

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractA study was conducted to determine the effects of alcohol swabbing on reagent strip blood glucose (BG) measurements using Reflolux and Glucometer GX meters and the Exac Tech Pen. Sixty subjects were randomly allocated to one of the three meters. Each had three separate fingerpricks after either swabbing with 70% isopropyl alcohol and testing immediately or after drying for two minutes; or after no preparation; (n=180). BG was also determined at alcohol concentrations of 0%, 1%, 5%, 10% and 20% on hypo (1.2 mmol/l), normo (4.0 mmol/l) and hyperglycaemic (>28 mmol/) bloodin vitro(six strips/meter/concentration, n=270).Increasing concentrations of alcohol caused reduction of BG at all glycaemias using the two meters (p=<0.01) (ANOVA). At alcohol concentrations of 20% the pen showed an increase of 1.5 mmol/l at euglycaemia, and an increase of 2.7 mmol/l into the normal range at hypoglycaemia (<2 mmol). Alcohol concentrations of bloodin vitrocaused inaccuracies in reagent strip BG readings. The errors varied with the type of meter, decreasing with reflectance meters, and increasing with the pen. In practice, however, swabbing with alcohol prior to testing had no effect on meter accuracy in the clinical setting.

ISSN:1357-8170    

DOI:10.1002/pdi.1960110610

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960110611

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY