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Pen injection and change in metabolic control and quality of life in insulin dependent diabetes mellitus

Andersson, P. O. (author)
Wikby, Anders (author)
Jönköping University,HHJ, Avdelningen för naturvetenskap och biomedicin,HHJ. Åldrande - livsvillkor och hälsa
Stenström, Ulf (author)
Jönköping University,HHJ, Avdelningen för socialt arbete,HHJ. Åldrande - livsvillkor och hälsa
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Hörnquist, J. O. (author)
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 (creator_code:org_t)
1997
1997
English.
In: Diabetes Research and Clinical Practice. - 0168-8227 .- 1872-8227. ; 36:3, s. 169-172
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • A second follow-up of metabolic control and quality of life in insulin dependent diabetes mellitus (IDDM) patients who had switched 3 years before from syringe to multiple pen injection treatment, was carried out. A total of 73 consecutive outpatients were enrolled in the initial follow-up study in 1988, 1 year after their changeover to insulin pen, with their metabolic control and quality of life examined. The present study concerns the reexamination of 65 of them in 1990. Their HbA(1c) level was recorded yearly, already from 1987, on. After an enhancement of metabolic control in 1988, exhibited primarily by patients with fewer syringe injections before pen treatment, control up to 1990 was found to have regressed to about baseline level or to have gradually declined. Patients who perceived their ability to self-test blood glucose to have decreased exhibited the least satisfactory course of metabolic control. This is seen to indicate that maintaining self-testing in multiple injection insulin treatment is a very real challenge to this regimen.

Keyword

Adolescent
Adult
Aged
Blood Glucose/*drug effects/*metabolism
Diabetes Mellitus; Type 1/*drug therapy/*metabolism/psychology
Female
Follow-Up Studies
Hemoglobin A; Glycosylated/drug effects/metabolism
Humans
Hypoglycemic Agents/*administration & dosage/therapeutic use
Injections; Subcutaneous/instrumentation
Insulin/*administration & dosage/therapeutic use
Male
Middle Aged
Multivariate Analysis
Outcome Assessment (Health Care)
Prospective Studies
Quality of Life
Research Support; Non-U.S. Gov't
Retrospective Studies
Self Administration
Time Factors

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ref (subject category)
art (subject category)

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