๐”– Bobbio Scriptorium
โœฆ   LIBER   โœฆ

Long-term glycaemic control achieved in young insulin-dependent diabetics

โœ Scribed by McLaren, E H ;Lakhdar, A A ;McLellan, I

Publisher
John Wiley and Sons
Year
1992
Tongue
English
Weight
357 KB
Volume
9
Category
Article
ISSN
1357-8170

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โœฆ Synopsis

Abstract

The longโ€term glycaemic control, assessed by the mean of three successive levels of glycosylated haemoglobin (HbA~1c~) achieved in a special clinic for insulindependent diabetics aged 12โ€“40, was audited in 1984 and 1987. Clinic policy involved a twiceโ€daily insulin regimen with infrequent blood glucose monitoring and little emphasis on dietary compliance or formal education. Overall levels of diabetic control were identical in 1984 and 1987; 34% of patients had HbA levels within three standard deviations of the mean and 60% within five standard deviations. There was no correlation between control and age or duration of diabetes. Diabetic control deteriorated in 24% of patients and improved in 20% between 1984 and 1987. There was no significant difference in the overall levels of control compared with other centres. It is concluded that frequent blood glucose monitoring, strict dietary compliance and formal education are not important factors in glycaemic control in insulinโ€dependent diabetes.

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