ISSN:1357-8170    

DOI:10.1002/pdi.1960140202

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960140203

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

摘要:

AbstractThis study investigated the coping strategies of IDDM patients with mild and severe episodes of hypoglycaemia. One hundred and two IDDM patients, aged 4–62 years old, 59% male and 41% female, were interviewed by telephone using a structured questionnaire.Most of the patients recognised the symptoms of hypoglycaemia and accordingly treated their mild episodes with either Coca Cola or fruit juice (61%), sweets (32%), milk (26%), or a slice of bread (23%). Forty two per cent of the patients treated themselves with additional chocolate, fruit or honey. While 83% of the patients reported that they had received an explanation regarding the use of the glucagon emergency kit, only 60% actually owned it. In only 19% of the patients who had ever experienced a severe episode of hypoglycaemia had this mode of treatment actually been used. Most of the patients (67%) said they would prefer the intranasal route if available and 82% assumed that the people surrounding them would prefer to administer an intranasal spray or drops in emergency hypoglycaemic situations.We conclude that only in a small percentage of patients is subcutaneous or intramuscular glucagon used in an emergency situation, and speculate that other modes of glucagon administration such as the intranasal route would increase the use of glucagon and prevent some of the IDDM patients from waiting for the emergency paramedic teams or from being referred to hospital

ISSN:1357-8170    

DOI:10.1002/pdi.1960140204

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

摘要:

AbstractThe attitudes of young adults towards their diabetes were investigated. Access was via paediatric clinics in Plymouth and the study explored the adolescents' own views, using a questionnaire. Quantitative data was analysed by computer using a software package for scientific statistics (SPSS).Unlike previous studies, attitudes proved generally positive: 97.5% felt normal or only slightly different from non‐diabetics. This correlated with how long they had had diabetes and their view of their diabetes control; 55% perceived control as excellent or good, and this related to frequency of blood‐monitoring. Only seven individuals thought their families were over‐protective.The data suggested a series of stages of acceptance, with a period of rejection sometimes occurring one to five years after diagnosis. Ten individuals (25%) found injections trying and claimed monitoring limited spontaneity. Twelve adolescents described weight problems; these were related to gender. Twelve monitored less than once daily and 11 frequently consumed unsuitable foods. Only 14 had considered future health prospects. Thirty two would prefer to attend specialist adolescent cl

ISSN:1357-8170    

DOI:10.1002/pdi.1960140205

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

摘要:

AbstractSmall instruments for self‐monitoring of blood glucose (BG) are now available to the patients, and a continuous quality control of these instruments is necessary. This study compared different small BG monitoring instruments with the Hemo‐Cue instrument, which in turn was compared with the Kodak Ektachem 700 XR‐C, the routine method at our laboratory. We also studied whether venous or capillary blood specimens made any difference, and the influence on the results of the time delay between sampling and analysis.Venous and capillary blood samples were obtained from 191 diabetic patients attending an out‐patient diabetes clinic, and glucose tests were performed in three small instruments (Glucometer Elite [n=112], Accutrend [n=56]or One Touch ll[n=23]) in parallel with HemoCue (n=191) and Kodak Ektachem 700 XR‐C(n=191).Blood glucose analysed with the small instruments often used by patients for self‐monitoring, showed a close relationship with HemoCue. However, one instrument (Accutrend) gave constantly lower values (0.7±1.0 mmol/l: p<0.001). HemoCue was shown to be in good agreement with the routine method used at the hospital laboratory. The difference between venous and capillary samples was significant (0.12±0.57 mmol/l p<0.001) but of no practical importance. However, the time between sampling and analysis was important, since blood glucose decreased 1.6±0.8 mmol/l after an average delay of 3.8hr. The glycolysis occurs despite correct sampling in tubes containing he

ISSN:1357-8170    

DOI:10.1002/pdi.1960140206

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960140207

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960140208

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960140209

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960140210

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY

摘要:

AbstractThis series of articles describes (with photographs) some of the more common abnormalities which a routine foot inspection might reveal. Some indication is given of their importance to the diabetic patient and what action the nurse or GP should take.

ISSN:1357-8170    

DOI:10.1002/pdi.1960140211

出版商:John Wiley&Sons, Ltd.    

年代:1997

数据来源: WILEY