scholarly journals Topical problems of diabetes treatment during pregnancy

2009 ◽  
Vol 12 (4) ◽  
pp. 32-36
Author(s):  
Irina Yur'evna Demidova ◽  
Natalya Yur'evna Arbatskaya ◽  
Elena Petrovna Mel'nikova

The main causes behind decompensation of diabetes mellitus (DM) in pregnant women are consid-ered, such as metabolic and hormonal disturbancesinfluencing insulin requirement in different periods of pregnancy and variability of glycemia related to pharmacokinetic and pharmacodynamicproperties of insu-lin preparations. Recommended target levels of glycemia in pregnant women with DM are cited. The fre-quencyof self-monitoring blood glucose and principles of intensive insulin therapy are discussed. Advan-tages of continuous subcutaneous insulin infusionand its role in the maintenance of stable control of car-bohydrate metabolism during pregnancy are discussed.

2021 ◽  
Vol 5 (5) ◽  
pp. 563-565
Author(s):  
Tara Snow ◽  
Chelsea D. Harper ◽  
Jonathan Crane ◽  
Muammar Arida

As the incidence and prevalence of Diabetes Mellitus is increasing, more cases of dermatologic complications attributed to therapy are being reported. Injection site reactions, most commonly erythema, edema and induration, lipohypertrophy, and lipoatrophy have been associated with subcutaneous insulin therapy. Accurate diagnosis is important to guide clinical management and to ensure appropriate blood glucose control. Herein, we present an unusual case of bilateral nodules on the thighs secondary to insulin injections.


2017 ◽  
pp. 17-21
Author(s):  
E. V. Goncharova ◽  
N. A. Petunina

Diabetes mellitus implies the need for self-monitoring under the supervision of the attending physician. In the conditions of increasing prevalence of diabetes, the physician’s key task is to properly educate the patient in applying the main principles of self-monitoring. Learning the principles of glycemic control with a portable glucometer is an essential component of diabetes treatment.


2012 ◽  
Vol 140 (5-6) ◽  
pp. 285-289
Author(s):  
Dragana Matanovic ◽  
Srdjan Popovic ◽  
Biljana Parapid ◽  
Emilija Dubljanin ◽  
Dejana Stanisavljevic ◽  
...  

Introduction. Numerous authors have indicated the beneficial effect of glycoregulation on micro- and macro-angiopathic complications. Objective. The aim of the study was to examine whether intensive treatment with maintaining blood glucose concentrations close to normal range could improve electrophysiological parameters. Methods. The study involved 81 patients with type 1 diabetes mellitus type 1 randomly assigned to intensive insulin therapy. The patients were followed for a period of 3 months by metabolic and electrophysiological control. The metabolic control included daily measurement of concentration of blood glucose and HbA1c and lipid status, while the neurophysiological control included nerve conduction velocity (NCV) of median, peroneal, tibial and sural nerve and latency of F wave. Results. In the beginning of our study blood glucose was 9.10?3.69 mmol/l and HbA1c 8.12?1.20%. After 3 months of administered intensive insulin therapy, blood glucose was 7.88?2.79 mmol/l and HbA1c 6.63?1.33. After 3 months NCV improved in the tibial, median and sural nerve (p<0.05) and latency of F wave. Conclusion. We found a significant association between the metabolic control and NCV findings which suggests that good metabolic control influences the improvement of neurophysiological parameters in patients with type 1 diabetes mellitus.


2014 ◽  
Author(s):  
Ozlem Turhan Iyidir ◽  
Mustafa Unubol ◽  
Bulent Ogun Hatipoglu ◽  
Ceyla Konca Degertekin

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