𝔖 Bobbio Scriptorium
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Relationship between insulin dose, body weight and glycaemic control in insulin-dependent diabetes

✍ Scribed by Gill, G ;Hardy, K ;Lorains, J


Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
192 KB
Volume
11
Category
Article
ISSN
1357-8170

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✦ Synopsis


Abstract

The relationships between daily insulin dose, body weight, age, sex and glycosylated haemoglobin (HbA~1~) 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 Β± 0.25 v 0.61 Β± 0.20 Β± u/kg, p<0.001). There was no correlation between insulin dose and HbA~1~.

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 HbA~1~ is perhaps disappointing, but may reflect the many factors affecting insulin absorption and action, as well as perhaps the destabilising effects of β€˜over‐insulinisation’.


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