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New Insulin Deliver...
New Insulin Delivery Recommendations
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- Frid, Anders H. (author)
- Lund University,Lunds universitet,Institutionen för kliniska vetenskaper, Malmö,Medicinska fakulteten,Department of Clinical Sciences, Malmö,Faculty of Medicine,Skåne University Hospital
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- Kreugel, Gillian (author)
- University Medical Center Groningen
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- Grassi, Giorgio (author)
- Citta' della Salute e della Scienza Hospital-University of Turin
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- Halimi, Serge (author)
- University Grenoble Alpes
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- Hicks, Debbie (author)
- Barnet, Enfield and Haringey Mental Health Trust
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- Hirsch, Laurence J. (author)
- Becton, Dickinson and Company (BD)
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- Smith, Mike J. (author)
- Becton, Dickinson and Company (BD)
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- Wellhoener, Regine (author)
- Private practice
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- Bode, Bruce W. (author)
- Atlanta Diabetes Associates
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- Hirsch, Irl B. (author)
- University of Washington, Seattle
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- Kalra, Sanjay (author)
- Bharti Research Institute of Diabetes & Endocrinology
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- Ji, Linong (author)
- Peking University
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- Strauss, Kenneth W. (author)
- BD Diabetes Care, Belgium
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(creator_code:org_t)
- Elsevier BV, 2016
- 2016
- English 25 s.
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In: Mayo Clinic Proceedings. - : Elsevier BV. - 0025-6196. ; 91:9, s. 1231-1255
- Related links:
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http://dx.doi.org/10...
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http://www.mayoclini...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Many primary care professionals manage injection or infusion therapies in patients with diabetes. Few published guidelines have been available to help such professionals and their patients manage these therapies. Herein, we present new, practical, and comprehensive recommendations for diabetes injections and infusions. These recommendations were informed by a large international survey of current practice and were written and vetted by 183 diabetes experts from 54 countries at the Forum for Injection Technique and Therapy: Expert Recommendations (FITTER) workshop held in Rome, Italy, in 2015. Recommendations are organized around the themes of anatomy, physiology, pathology, psychology, and technology. Key among the recommendations are that the shortest needles (currently the 4-mm pen and 6-mm syringe needles) are safe, effective, and less painful and should be the first-line choice in all patient categories; intramuscular injections should be avoided, especially with long-acting insulins, because severe hypoglycemia may result; lipohypertrophy is a frequent complication of therapy that distorts insulin absorption, and, therefore, injections and infusions should not be given into these lesions and correct site rotation will help prevent them; effective long-term therapy with insulin is critically dependent on addressing psychological hurdles upstream, even before insulin has been started; inappropriate disposal of used sharps poses a risk of infection with blood-borne pathogens; and mitigation is possible with proper training, effective disposal strategies, and the use of safety devices. Adherence to these new recommendations should lead to more effective therapies, improved outcomes, and lower costs for patients with diabetes.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
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- By the author/editor
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Frid, Anders H.
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Kreugel, Gillian
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Grassi, Giorgio
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Halimi, Serge
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Hicks, Debbie
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Hirsch, Laurence ...
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show more...
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Smith, Mike J.
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Wellhoener, Regi ...
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Bode, Bruce W.
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Hirsch, Irl B.
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Kalra, Sanjay
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Ji, Linong
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Strauss, Kenneth ...
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Endocrinology an ...
- Articles in the publication
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Mayo Clinic Proc ...
- By the university
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Lund University