ISSN:1357-8170    

DOI:10.1002/pdi.1960090603

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960090604

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractThe diagnostic value of peripheral retinal photography in screening for retinopathy was assessed in 100 eyes from 95 diabetic patients following pharmacological mydriasis. Polaroid prints of the central 45° field and of 4 peripheral fields were assessed by a consultant ophthalmologist. There were 45 eyes judged to have no retinopathy centrally. Of the 55 eyes with retinopathy, 21 were referred: 3 for pre‐proliferative retinopathy and 18 for maculopathy. The 4 Polaroids of the peripheral retina were assessed at a second reviewing session. There was significant agreement in diagnosing the presence or absence of retinopathy from the central versus the peripheral review. No proliferative retinopathy was identified from any of the photographs. There were 7 eyes judged to have clear central fields in which the peripheral photographs revealed retinopathy, though none of these required referral. It is concluded that additional peripheral photographs are not essential for routine screeni

ISSN:1357-8170    

DOI:10.1002/pdi.1960090605

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractIn a randomised cross‐over study we compared human isophane insulin (Human InsulatardTM) with human crystalline insulin zinc suspension (Human UltratardTM) as longer‐acting, night‐time insulins given thrice daily soluble insulin in the management of diabetes. We studied 20 insulin‐dependent patients aged 20–47 years. At the end of each 12‐week study period, total daily insulin dose was 56.9 ± 3.9U with Human InsulatardTMand 59.4 ± 4.4U with Human UltratardTM(no significant difference). The amount of longer‐acting insulin used was lower with Human InsulatardTMthan with Human UltratardTM(23.3 ± 2.5 vs 29.0 ± 3.2U per day, p<0.001), despite which the early morning (fasting) blood glucose concentration was lower using Human InsulatardTM(7.4 ± 0.6 vs 10.0 ± 1.0mmol per litre, p<0.02). Serum fructosamine, glycosylated haemoglobin and mean daily blood glucose concentrations were similar with either insulin. Patients reported a total of 85 (range 0.25, median 2) hypoglycaemic episodes using Human InsulatardTMcompared with 161 (0.33, 3) when using Human UltratardTM(0.05

ISSN:1357-8170    

DOI:10.1002/pdi.1960090606

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractPractice nurse measurement of blood pressure is an accepted technique for blood pressure screening and monitoring of anti‐blood pressure therapy in the diabetic clinic. Consequently it is important to design a quality control programme to ensure accuracy of measurement. We describe such a technique employing the Society of Hypertension video on Blood Pressure. Responses were obtained from 36 practice nurses attending a study day on diabetes. Major potential errors of equipment and maintenance were discovered (64% not calibrated or overhauled; 22.5% unable to be adjusted for height). Errors of measurement were also found: 50% of diastolic values were incorrect, and 30% of systolic values. Since anti‐hypertensive treatment is so important in people with diabetes, the responses described demonstrate the need for more care about the teaching on blood pressure measurement and a continuing quality control progra

ISSN:1357-8170    

DOI:10.1002/pdi.1960090607

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960090608

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960090609

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960090610

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

摘要:

AbstractTwo cases are outlined of patients with visual deterioration due to papilloedema that may have easily been attributed to an anterior ischaemic optic neuropathy if a lumbar puncture diagnostic of benign intracranial hypertension (cerebrospinal fluid pressure>200mm) had been omitted, with the consequent missed opportunity for beneficial vision‐saving therapeutic intervention. In one case hypothalamic pituitary dysfunction, a known association of benign intracranial hypertension, was documented during an insulin hypoglycaemia stress test, and this may have contributed to sudden onset of unheralded severe hypoglycaemia. The chance co‐occurrence of benign intracranial hypertension and diabetes mellitus may present clinical problems that require careful consideration of the differential diagno

ISSN:1357-8170    

DOI:10.1002/pdi.1960090611

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960090612

出版商:John Wiley&Sons, Ltd.    

年代:1992

数据来源: WILEY