Effects of an individual intensive educational control program for insulin-dependent diabetic subjects with poor metabolic control.

Abstract:

:The aim of our study was to evaluate the efficiency of an individual intensive educational control program on improving the metabolic control of insulin-dependent diabetic patients at short- and long-term follow-up. Fifteen insulin-dependent diabetic subjects with poor metabolic control (hemoglobin A1c > 9%) were included. At entry, their knowledge of diabetes (DKQ2 test), total energy intake and its distribution, insulin schedule, technical skill for insulin administration and self monitoring of blood glucose were evaluated. According to the initial evaluation, individual goals were stipulated and monitored in weekly visits. Individual life-style was particularly kept in mind. Thereafter, patients were switched to our ambulatory clinic for outpatients. At 1, 6, 12 and 24 months of follow-up, the items analyzed at the beginning were reevaluated. After 1 month, the program produced a significant decrease in hemoglobin A1c and an increase in knowledge of diabetes. The same beneficial effects were present at 6, 12 and 24 months evaluation compared to those values recorded at entry. There were neither major changes in dietary intake nor insulin schedule nor any increase in the frequency of hypoglycemic episodes. In conclusion, our program (5.2 +/- 0.8 weekly visits) significantly reduced and sustained hemoglobin A1c values close to those levels recommended by multicenter controlled trials. We consider that our program produced two major changes: a long-lasting improvement in knowledge of diabetes and an increase in self-monitoring blood glucose which provided the key for optimal self-regulation.(ABSTRACT TRUNCATED AT 250 WORDS)

authors

Conget I,Jansá M,Vidal M,Vidal J,Manzanares JM,Gomis R

doi

10.1016/0168-8227(95)01041-b

subject

Has Abstract

pub_date

1995-03-01 00:00:00

pages

189-92

issue

3

eissn

0168-8227

issn

1872-8227

pii

016882279501041B

journal_volume

27

pub_type

杂志文章
  • Oral diabetes medication and risk of dementia in elderly patients with type 2 diabetes.

    abstract:AIM:To examine the effect of oral diabetes medication on the risk of dementia in an elderly cohort with type 2 diabetes. METHODS:This was a population-based cohort study using the Korean National Health Insurance claims data from 2002 to 2013. Elderly subjects (60 years of age or older) with and without type 2 diabete...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2019.07.004

    authors: Kim JY,Ku YS,Kim HJ,Trinh NT,Kim W,Jeong B,Heo TY,Lee MK,Lee KE

    更新日期:2019-08-01 00:00:00

  • The modulating effects of the overexpression of uncoupling protein 2 on the formation of reactive oxygen species in vascular cells.

    abstract::Uncoupling protein 2 (UCP-2) is a newly identified member of the mitochondrial anion carrier family and shares 60% sequence identity with the well-characterized thermogenic UCP-1 from brown adipose tissue. Several lines of evidence suggest that UCP-2 is involved in the control of reactive oxygen species (ROS) producti...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2007.01.032

    authors: Kim HS,Park KG,Koo TB,Huh S,Lee IK

    更新日期:2007-09-01 00:00:00

  • Microinflammation is a common risk factor for progression of nephropathy and atherosclerosis in Japanese patients with type 2 diabetes.

    abstract:AIM:This study aimed to evaluate the change of serum levels of proinflammatory molecules in patients with type 2 diabetes and clarify the involvement of these molecules in diabetic nephropathy and atherosclerosis. METHODS:Sixty-six Japanese type 2 diabetic patients (T2DM) and 39 healthy control subjects were enrolled....

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2010.01.012

    authors: Kajitani N,Shikata K,Nakamura A,Nakatou T,Hiramatsu M,Makino H

    更新日期:2010-05-01 00:00:00

  • Hospital admissions, emergency department utilisation and patient activation for self-management among people with diabetes.

    abstract:AIMS:To assess the relationship between patient activation for self-management and admissions to hospital or attendances at emergency departments among people with diabetes, after controlling for other known associations. METHODS:Patients were randomly selected from Australia's National Diabetes Services Scheme and in...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2011.05.031

    authors: Begum N,Donald M,Ozolins IZ,Dower J

    更新日期:2011-08-01 00:00:00

  • Prevalence of diabetes in Murcia (Spain): a Mediterranean area characterised by obesity.

    abstract::The aim of this cross-sectional study was to describe the prevalence of total, known and unknown diabetes mellitus and impaired fasting glucose (IFG) in the population of Murcia (SE Spain), a Mediterranean area with a high prevalence of obesity. Therefore, 2562 subjects (>or=20 years) were selected by stratified rando...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.diabres.2005.06.009

    authors: Valverde JC,Tormo MJ,Navarro C,Rodríguez-Barranco M,Marco R,Egea JM,Pérez-Flores D,Ortolá JB,González-Sicilia L,Tébar J,Sánchez-Pinilla M,Flores M,Cava J

    更新日期:2006-02-01 00:00:00

  • Long-term effects of a reduced fat diet intervention on cardiovascular disease risk factors in individuals with glucose intolerance.

    abstract::The long-term effects on cardiovascular disease risk factors of a reduced fat (RF), ad libitum diet were compared with usual diet (control, CD) in glucose intolerance individuals. Participants were 136 adults aged > or =40 years with 'glucose intolerance' (2h blood glucose 7-11.0 mmol/l) detected at a Diabetes Survey ...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2003.09.001

    authors: Ley SJ,Metcalf PA,Scragg RK,Swinburn BA

    更新日期:2004-02-01 00:00:00

  • Clustering of components of the metabolic syndrome and risk for development of type 2 diabetes in Japanese male office workers.

    abstract::To investigate the effects of the clustering of components of the metabolic syndrome (MS) on development of diabetes, we examined 3298 Japanese male office workers aged 35-59 years who did not have type 2 diabetes (a fasting plasma glucose level of > or =7.0 mmol/l or receipt of hypoglycemic medication) or a history o...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2003.08.007

    authors: Nakanishi N,Nishina K,Okamoto M,Yoshida H,Matsuo Y,Suzuki K,Tatara K

    更新日期:2004-03-01 00:00:00

  • Obesity and its complications observed in health examinations: introduction of ACI as an index of type of obesity.

    abstract::The prevalence of obesity observed in this study seems higher than that reported in the previous study. This is probably due to the characteristics of the subjects studied, since they were subjects admitted for health examinations with possible selection. However, the observation in this study clearly indicated that o...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/0168-8227(90)90153-k

    authors: Sasaki A

    更新日期:1990-01-01 00:00:00

  • Comparative efficacy of glimepiride and/or metformin with insulin in type 2 diabetes.

    abstract:BACKGROUND AND AIMS:The data regarding comparison of efficacy of metformin with glimepiride, newest Sulfonylurea, or with the use of both drugs in combination with insulin is rare in the literature. Therefore, we assessed the daily insulin dose, hypoglycemic events and body weight on achieving desirable glycemic contro...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2005.10.024

    authors: Kabadi UM,Kabadi M

    更新日期:2006-06-01 00:00:00

  • The evaluation of thiol/disulphide homeostasis in diabetic nephropathy.

    abstract:AIMS:Thiol/disulphide homeostasis plays a critical role in antioxidant defense, and detoxification in body. Although alteration of thiol/disulfide homeostasis had been shown in patients with diabetes, the thiol/disulfide balance in patients with type 2 diabetes and nephropathy is not yet known. METHODS:Twenty-six heal...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2019.01.022

    authors: Eren MA,Koyuncu İ,İncebıyık H,Karakaş H,Erel Ö,Sabuncu T

    更新日期:2019-02-01 00:00:00

  • Impaired metabolism-secretion coupling in pancreatic beta-cells: role of determinants of mitochondrial ATP production.

    abstract::Glucose-induced insulin secretion from beta-cells is often impaired in diabetic condition and by exposure to diabetogenic pharmacological agents. In pancreatic beta-cells, intracellular glucose metabolism regulates exocytosis of insulin granules, according to metabolism-secretion coupling in which glucose-induced mito...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,评审

    doi:10.1016/j.diabres.2007.01.026

    authors: Fujimoto S,Nabe K,Takehiro M,Shimodahira M,Kajikawa M,Takeda T,Mukai E,Inagaki N,Seino Y

    更新日期:2007-09-01 00:00:00

  • Factors associated with treatment failure in patients with diabetic foot infections: An analysis of data from randomized controlled trials.

    abstract:BACKGROUND:Although several antibiotics have been studied for the treatment of foot infections, their effectiveness has been considered to be similar. The scope of this analysis was the identification of factors that are associated with treatment failure based on evidence from randomized controlled trials (RCTs). METH...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,评审

    doi:10.1016/j.diabres.2008.01.009

    authors: Vardakas KZ,Horianopoulou M,Falagas ME

    更新日期:2008-06-01 00:00:00

  • Akt activation: A potential strategy to ameliorate insulin resistance.

    abstract::Insulin resistance is a hallmark of type 2 diabetes and obesity while the mechanism remains unclear. Current therapy to treat type 2 diabetes is metformin, the 5'-monophosphate-activated protein kinase (AMPK) activator, owing to the ability to augment peripheral glucose uptake. However, metformin also displays limitat...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,评审

    doi:10.1016/j.diabres.2017.10.004

    authors: Zhang Z,Liu H,Liu J

    更新日期:2019-10-01 00:00:00

  • Endothelial dysfunction of coronary arteries in subjects without diabetes: An association with both insulin resistance and impaired insulin secretion response.

    abstract:AIMS:This study was aimed to compare insulin sensitivity and secretion response, lipoprotein and plasminogen activator inhibitor 1 (PAI-1) levels between the subjects with and without coronary artery endothelial dysfunction (ED). METHODS:ED was detected by intracoronary injection of acetylcholine (ACh) in 47 nondiabet...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2018.03.005

    authors: Lalić K,Nedeljković M,Jotić A,Babić R,Rajković N,Popović L,Lukić L,Miličić T,Singh Lukač S,Stošić L,Maćešić M,Rasulić I,Gajović JS,Lalić NM

    更新日期:2018-05-01 00:00:00

  • Alteration in fasting glucose after prolonged treatment with a thiazide diuretic.

    abstract:AIMS:Thiazide diuretics are recommended as first line antihypertensive treatment, but may contribute to new onset diabetes. We aimed to describe change in fasting glucose (FG) during prolonged thiazide treatment in an observational setting. METHODS:We conducted an observational, non-randomized, open label, follow-up s...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2014.04.004

    authors: Karnes JH,Gong Y,Arwood MJ,Gums JG,Hall KL,Limacher MC,Johnson JA,Cooper-DeHoff RM

    更新日期:2014-06-01 00:00:00

  • Effect of ischemia on peripheral nerve function in diabetes mellitus.

    abstract::In Japan, diabetic patients are known to be able to sit on the floor for a prolonged time because of mildness or absence of ischemic paresthesia. In order to investigate this resistance to ischemia quantitatively, the mixed nerve function of the median nerve was studied during 30 min of ischemia using surface electrod...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/s0168-8227(86)80004-3

    authors: Kuriya N,Mori M,Miyake S,Takamori M,Nagataki S

    更新日期:1986-09-01 00:00:00

  • Global perspectives on the provision of diabetic retinopathy screening and treatment: Survey of health care professionals in 41 countries.

    abstract:AIM:To assess the level of awareness and provision of screening and treatment for Diabetic Eye Disease (DED) comprising Diabetic Retinopathy (DR) and Diabetic Macular Edema (DME) among health care professionals. METHODS:The study was conducted in two phases. The first phase consisted of a qualitative study, based on s...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.diabres.2018.07.004

    authors: Cavan D,Makaroff LE,da Rocha Fernandes J,Karuranga S,Sylvanowicz M,Conlon J,Chaney D,Malhi A,Barratt J

    更新日期:2018-09-01 00:00:00

  • Salivary extracellular RNA biomarkers for insulin resistance detection in hispanics.

    abstract:AIMS:Insulin resistance (IR) detection is challenging and no test is currently used in clinical practice. We developed salivary biomarkers that could be used for IR detection. METHODS:We collected saliva from 186 healthy and 276 pre-diabetic participants, divided them into high and low IR groups based on a HOMA cutoff...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2017.07.008

    authors: Zhang Y,Sun J,Li F,Grogan TR,Vergara JL,Luan Q,Park MS,Chia D,Elashoff D,Joshipura KJ,Wong DTW

    更新日期:2017-10-01 00:00:00

  • Relationships between reduced heart rate variability and pre-clinical cardiovascular disease in patients with type 2 diabetes.

    abstract:AIMS:Reduced heart rate variability (HRV), an early sign of diabetic cardiovascular autonomic neuropathy (CAN), is associated with worse cardiovascular outcomes. The objective was to evaluate relationships between HRV parameters and three pre-clinical cardiovascular disease markers (left ventricular hypertrophy [LVH], ...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2014.07.005

    authors: Cardoso CR,Moraes RA,Leite NC,Salles GF

    更新日期:2014-10-01 00:00:00

  • Diabetes prevalence and determinants in adults in China mainland from 2000 to 2010: a systematic review.

    abstract:AIMS:To systematically review trends in diabetes mellitus (DM) prevalence in adults in China over the last 10 years and to identify the determinants of these trends. METHODS:A systematic search was conducted for studies published between 2000 and 2010. Studies reporting DM prevalence were included if they met the pre-...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,评审

    doi:10.1016/j.diabres.2012.05.010

    authors: Li H,Oldenburg B,Chamberlain C,O'Neil A,Xue B,Jolley D,Hall R,Dong Z,Guo Y

    更新日期:2012-11-01 00:00:00

  • The effect of aldose reductase inhibition with ponalrestat on the width of the capillary basement membrane in diabetes mellitus.

    abstract::There is evidence to suggest that hyperglycemia is required for the development of the microvascular complications of diabetes. However, the precise mechanism by which hyperglycemia might cause diabetic complications is not completely clear. One possibility is the increased activity of the polyol pathway. Capillary ba...

    journal_title:Diabetes research and clinical practice

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0168-8227(91)90094-t

    authors: Ramirez LC,Arauz C,Pruneda L,Hammon K,Rosenstock J,Raskin P

    更新日期:1991-02-01 00:00:00

  • High frequency of autonomic as well as peripheral neuropathy in patients with malnutrition-related diabetes mellitus.

    abstract::We assessed peripheral and autonomic nerve function in 27 diabetics. Ten had malnutrition-related diabetes mellitus (MRDM), eight insulin-dependent diabetes mellitus (IDDM), and nine non-insulin-dependent diabetes mellitus (NIDDM). The frequency of peripheral neuropathy was 70, 78 and 13% in MRDM, NIDDM and IDDM respe...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/s0168-8227(88)80088-3

    authors: Sutjahjo A,Taniguchi H,Hendromartono,Tjokroprawiro A,Baba S

    更新日期:1988-09-05 00:00:00

  • Insulin autoantibodies in patients with autoimmune diseases.

    abstract::Insulin antibodies (IAA) can be detected in the serum of the majority of newly diagnosed IDDM patients prior to insulin therapy. In first degree relatives of IDDM patients, IAA are associated with an increased risk of development of IDDM. However, the disease specificity of IAA, detected by radiobinding assays, has no...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/0168-8227(92)90006-d

    authors: Harrop M,Caudwell J,Stojanovski C,Colman PG

    更新日期:1992-11-01 00:00:00

  • Socio-economic status and undiagnosed diabetes.

    abstract:OBJECTIVE:To test the association of undiagnosed Type 2 diabetes mellitus with education and income level. METHODS:We utilized measures of diabetes status, fasting plasma glucose, socio-economic status, and demographic characteristics from the National Health and Nutrition Examination Survey (NHANES III) for adults of...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2005.02.008

    authors: Wilder RP,Majumdar SR,Klarenbach SW,Jacobs P

    更新日期:2005-10-01 00:00:00

  • History of obesity as a risk factor for both carotid atherosclerosis and microangiopathy.

    abstract::As a westernized lifestyle becomes widespread in Japan, the number of individuals with obesity, as well as type 2 diabetes, is rapidly increasing. In this investigation, we studied the prevalence of obesity and its association with the development of diabetic macroangiopathy and microangiopathy. The clinical records o...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2003.09.020

    authors: Ogawa K,Ueda K,Sasaki H,Yamasaki H,Okamoto K,Wakasaki H,Matsumoto E,Furuta H,Hanabusa T,Nishi M,Nanjo K

    更新日期:2004-12-01 00:00:00

  • Different effects of growth hormone on growth and function of isolated adult and fetal rat pancreatic islets.

    abstract::We simultaneously determined 3H-thymidine incorporation, DNA content, and insulin biosynthesis in adult and fetal rat pancreatic islets. 3H-thymidine incorporation was measured after tissue solubilization. DNA was measured fluorometrically. Insulin biosynthesis was determined through 3H-leucine incorporation after imm...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/s0168-8227(88)80053-6

    authors: Sieradzki J,Chatterjee AK,Fleck E,Schatz H

    更新日期:1988-07-13 00:00:00

  • High prevalence of both anti-insulin and anti-insulin receptor antibodies in Korean patients with insulin autoimmune syndrome.

    abstract::We performed a retrospective pooled analysis of 28 patients who had been diagnosed with insulin autoimmune syndrome and evaluated the prevalence of anti-insulin receptor antibodies. Dual positivity for anti-insulin and anti-insulin receptor antibodies was common (53.8%). However, these patients had a similar phenotype...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2012.09.019

    authors: Kim SW,Won HK,Seok H,Lee BW,Jung CH,Lee WJ,Kim JH

    更新日期:2012-11-01 00:00:00

  • Type of diabetes and waist-hip ratio are important determinants of serum lipoprotein (a) levels in diabetic patients.

    abstract::This cross-sectional study compared serum lipoprotein (a) [Lp(a)] concentrations in type 1 and type 2 diabetic subjects and examined the determinants of Lp(a) concentrations in both types of diabetes. Serum Lp(a) was measured in 26 type 1 and 107 type 2 diabetic patients and 126 non-diabetic controls. HbA(1c), fasting...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/s0168-8227(02)00009-8

    authors: Nawawi HM,Muhajir M,Kian YC,Mohamud WN,Yusoff K,Khalid BA

    更新日期:2002-06-01 00:00:00

  • Insulin requirement profiles of short-term intensive insulin therapy in patients with newly diagnosed type 2 diabetes and its association with long-term glycemic remission.

    abstract:AIMS:To investigate the insulin requirement profiles during short-term intensive continuous subcutaneous insulin infusion (CSII) in patients with newly diagnosed type 2 diabetes and its relationship with long-term glycemic remission. METHODS:CSII was applied in 104 patients with newly diagnosed type 2 diabetes. Daily ...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.diabres.2015.02.011

    authors: Liu L,Ke W,Wan X,Zhang P,Cao X,Deng W,Li Y

    更新日期:2015-05-01 00:00:00

  • Type 1 diabetes, quality of life, occupational status and education level - A comparative population-based study.

    abstract:AIM:Type 1 diabetes requires extensive self-management to avoid complications and may have negative effects on the everyday life of people with the disease. The aim of this study was to compare adults with type 1 diabetes to the general population in terms of health-related quality of life, occupational status (level o...

    journal_title:Diabetes research and clinical practice

    pub_type: 杂志文章

    doi:10.1016/j.diabres.2016.08.021

    authors: Nielsen HB,Ovesen LL,Mortensen LH,Lau CJ,Joensen LE

    更新日期:2016-11-01 00:00:00