1. Home monitoring of blood glucose and insulin therapy without a photometer
- Author
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Gunnar StrÖmblad, Rex Stuart‐Beck, Martin Fahlén, and Leif Lapidus
- Subjects
Adult ,Blood Glucose ,Male ,medicine.medical_specialty ,Ultralente ,medicine.medical_treatment ,Population ,Hypoglycemia ,Intermediate-acting insulin ,Drug Administration Schedule ,Photometry ,Internal medicine ,Diabetes mellitus ,Internal Medicine ,medicine ,Diabetes Mellitus ,Humans ,Insulin ,education ,Monitoring, Physiologic ,Meal ,education.field_of_study ,business.industry ,Middle Aged ,medicine.disease ,Self Care ,Endocrinology ,Regular insulin ,Female ,business - Abstract
The BM-Test-Glycemie 1-44 test strip facilitates self-monitoring without the use of a photometer. In a population of 33 diabetic patients (age 24.8 +/- 2.9 years) 94% took part in home monitoring for 6-10 months. Of 29 who answered a questionnaire 25 preferred blood glucose testing to urine testing. In a "beta-cell school" it was taught that it is rational if home monitoring of blood glucose is combined with a tailored insulin treatment consisting of long-acting insulin (Ultralente) as a basal insulin and regular insulin (Actrapid) as a meal insulin. In a group of 24 labile diabetic patients 17 preferred this regime compared to earlier use of intermediate acting insulin and regular insulin. Six of these preferred the regular insulin to be taken in three doses. Hypoglycemia, when it occurred, was less distressing in symptoms than previously. Among patients with recent onset of diabetes active participation with dose reduction was seen during the honey-moon stage. The regime is logical and generative, offers a basis for an individualized therapy and a high remission frequency may be expected.
- Published
- 1983