Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/7669
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Type: | Journal article |
Title: | MJA Practice Essentials - 2: Recent advances in therapy of diabetes - Endocrinology |
Author: | Couper, J. Prins, J. |
Citation: | Medical Journal of Australia, 2003; 179(8):441-447 |
Publisher: | Australasian Med Publ Co Ltd |
Issue Date: | 2003 |
ISSN: | 0025-729X 1326-5377 |
Statement of Responsibility: | Jennifer J Couper and Johannes B Prins |
Abstract: | As suboptimal blood glucose control has a lasting harmful effect even if control improves later, intensive insulin therapy to minimise hyperglycaemia is now recommended for all patients with type 1 diabetes. The new rapid- and long-acting insulin analogues offer more physiological insulin profiles than traditional insulin preparations. Continuous insulin infusion (“pump therapy”) may provide a solution for some patients with frequent hypoglycaemia or hypoglycaemic unawareness. Continuous blood glucose monitoring reveals postprandial hyperglycaemia and asymptomatic nocturnal hypoglycaemia and may be especially useful for programming overnight basal insulin rates for pump therapy. In type 2 diabetes, management should change with disease progression; introduction of insulin should not be delayed if metabolic control becomes suboptimal. More individualised and physiological therapy is now possible. |
Keywords: | Humans Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 2 Lactones Insulin Receptors, Cytoplasmic and Nuclear Transcription Factors Anti-Obesity Agents Blood Glucose Self-Monitoring Insulin Infusion Systems Drug Administration Schedule Adolescent Adult Middle Aged Child Female Male Patient Education as Topic Orlistat |
Description: | The document attached has been archived with permission from the editor of the Medical Journal of Australia. An external link to the publisher’s copy is included. |
DOI: | 10.5694/j.1326-5377.2003.tb05628.x |
Published version: | https://www-mja-com-au/journal/2003/179/8/2-recent-advances-therapy-diabetes |
Appears in Collections: | Aurora harvest Paediatrics publications |
Files in This Item:
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hdl_7669.pdf | Published version | 472.47 kB | Adobe PDF | View/Open |
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