food plan and exercise
management of type 2 diabetes focus on insulin therapy
Ngày tải lên :
12/08/2014, 20:58
... Secretagogue Pancreas • Increased and supplemental insulin secretion International Diabetes Center Combination Sulfonylurea (S) and Combination Sulfonylurea (S) and Glargine (G) Insulin Stage Glargine ... resistance to multiple injections International Diabetes Center Combination Oral Agent and Combination Oral Agent and Insulin Stage Insulin Stage OA – – (OA) – G or N OA – – (OA) – G or N • • • • ... Therapy to Oral Agent plus Insulin • Oral Agent and Basal Insulin – No kidney or liver disease – HbA1c 126 mg/dL (7.0 mmol/L) – Post prandial BG < 160 mg/dL (8.9 mmol/L) – Patient...
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Báo cáo y học: "Adrenal suppression: A practical guide to the screening and management of this under-recognized complication of inhaled corticosteroid therapy" pptx
Ngày tải lên :
08/08/2014, 21:20
... hypothalamic-pituitary-adrenal inhibitory effects on the hypothalamus and pituitary gland, which leads to decreased secretion of CRH and ACTH and, in turn, reduced production and secretion of cortisol This negative-feedback ... conception, drafting and writing of the manuscript and to revising it for important intellectual content HK and SS contributed to the drafting and development of the manuscript and to revising it ... significant morbidity and even mortality [16-19] The purpose of this review is to assist physicians and other healthcare professionals in identifying patients who may be at risk for AS, and provide practical...
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báo cáo khoa học:" Psychometric properties of an instrument for assessing the experience of patients treated with inhaled insulin: the Inhaled Insulin Treatment Questionnaire (IITQ)" pdf
Ngày tải lên :
12/08/2014, 01:21
... labeling and promotion Value Health 1999, 2:113-127 Bradley C, ed: Handbook of Psychology and Diabetes: A Guide to Psychological Measurement in Diabetes Research and Practice Chur, Switzerland: Harwood ... were male and older (type only) and who had better mental or physical health (type and type 2) The Treatment Satisfaction measure was significantly higher for patients who were older and had lower ... Maryland, MD 21111, USA Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA 3Department of Sociology, Loyola University Maryland, Baltimore, Maryland,...
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báo cáo khoa học:" Barriers towards insulin therapy in type 2 diabetic patients: results of an observational longitudinal study" pps
Ngày tải lên :
12/08/2014, 01:21
... symptoms of depression and anxiety, and psychological well-being among diabetic patients [2,5] In this observational study we compared the barriers to insulin therapy and more generic quality ... scale Cronbach’s a = 68) and can be regarded as highly satisfactory [2] As generic measures of emotional well-being and emotional distress, established depression-, anxiety-, and well-being scales ... of whom 73 were insulin-naïve and 57 were insulin-treated As shown in table insulin-treated and insulin-naïve patients were of a comparable relatively young age and had a similar gender distribution,...
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basal insulin therapy in type 2 diabetes
Ngày tải lên :
12/08/2014, 20:59
... mg/dL; and postprandial plasma glucose (PPG) Ͻ180 mg/dL.11 It may be important to control both FPG and PPG levels in patients with type diabetes Elevated FPG has been linked to mortality risk, and ... an intermediate duration of action (NPH insulin and lente insulin [Lente; Eli Lilly and Company]), and long-acting insulins (ultralente insulin and insulin glargine) Short-Acting Insulins Short-acting ... correlated with the development and progression of disease complications.12 Oral Antidiabetic Therapy Patients with type diabetes are often treated first with diet and exercise If glycemic control...
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insulin therapy practical points
Ngày tải lên :
12/08/2014, 20:59
... Capillary density and functional status decrease in lipodystrophy and atrophy Obesity and smoking also cause a decrease in density and affect functional status of capillaries Exercise and massage, ... withdrawing needle and not change direction 11 d) Avoid air bubbles in the syringe Syringes and other delivery devices Insulin is available in two potencies, that is, 4O u/ml and l00 u/mI, and always ... have become very popular They are safe, accurate, convenient and most suitable for elderly and handicapped persons They can be reused and only cartridges need to be replaced Each cartridge contain...
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intensive insulin therapy in critically ill patients
Ngày tải lên :
12/08/2014, 20:59
... 27 Blood was obtained on admission and subsequently every four hours The blood glucose level was measured on admission and daily at a.m., and daily maximal and minimal blood glucose levels were ... Disease, and an unrestricted grant from Novo Nordisk Dr Bouillon holds a J.J Servier Diabetes Research Chair We are indebted to Ilse Milants, Jenny Gielens, An Andries, Myriam Vandenbergh, and Viviane ... determine the severity of illness and use of intensive care resources (Table 1) Scores were calculated for the Acute Physiology and Chronic Health Evaluation (APACHE II)24 and the simplified Therapeutic...
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intensive insulin therapy in the medical icu
Ngày tải lên :
12/08/2014, 20:59
... The new england journal H yperglycemia and insulin resistance are common in severe illness and are associated with adverse outcomes.1-4 In a previous randomized, controlled study ... immune dysfunction,7 reduction of systemic inflammation,8 and protection of the endothelium9,10 and of mitochondrial ultrastructure and function.11 It remains unclear whether intensive insulin ... exceeded 215 mg per deciliter (12 mmol per liter) and was adjusted to maintain a blood glucose level of between 180 and 200 mg per deciliter (10 and 11 mmol per liter) When the blood glucose level...
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short term results of intensive insulin therapy
Ngày tải lên :
12/08/2014, 20:59
... consisting of preprandial short-acting insulin three times a day and NPH insulin at night The blood glucose levels were evaluated four times a day and two times at night (2 and a.m.) one or two ... LDL-C, VLDL-C, and apo A1 are elevated and HDLC and apo B are decreased When better metabolic control has been achieved, serum lipid levels return to the normal levels similar to age- and sex-matched ... 50% to 55% carbohydrates, 20% protein, and approximately 30% fat Calorie intake was determined according to need, simple sugars were restricted and a meal-planning program was individualized according...
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Báo cáo y học: "Is it time for implementation of tight glycaemia control by intensive insulin therapy in every ICU" pdf
Ngày tải lên :
12/08/2014, 23:23
... be assessed and monitored in the presently available trials In summary, questions about the efficiency and safety of IIT in different ICUs around the world are far from answered and much work ... to 110 mg/dl) and 10 to 11 mmol/l (180 to 200 mg/dl), implying that there was no assessment of an intermediary blood glucose value, which is often used [13] Greet Van den Berghe and colleagues ... Intensive insulin therapy in patient with severe sepsis and septic shock is associated with an increased rate of hypoglycemia: results from a randomized multicentre study (VISEP) [abstract] Infection...
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Báo cáo khoa học: "Tight glycaemic control: a prospective observational study of a computerised decision-supported intensive insulin therapy protocol'''' pptx
Ngày tải lên :
13/08/2014, 03:21
... responsible for conception and design of the study, data collection and analysis and interpretation of results, and drafted the manuscript CO advised on the design, statistical analysis and the draft SJF ... illness and associated insulin resistance Finney and co-workers [6] identified an association between increasing insulin dose and increased mortality; this was also reported by Van den Berghe and ... to 6.1 mmol/l and the initial glucose load [15,17-22] There is a clear need to standardise the protocols for IIT, in order to address differences in glycaemic targets, nutritional and glucose supplementation,...
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Báo cáo y học: " Formulas Pro/con debate: Is intensive insulin therapy targeting tight blood glucose control of benefit in critically ill patient" doc
Ngày tải lên :
13/08/2014, 08:21
... of bias through proper randomisation and appropriate analysis and interpretation (with no undue emphasis placed on specific parts of the evidence), and strict control of random error by reporting ... study in Australia and New Zealand the median daily intravenous glucose load was Following publication of Van den Berghe and colleagues’ first study, IIT was adopted in some ICUs and improved outcomes ... [24,25] and acute renal failure [2], and reduced duration of mechanical ventilation In Van den Berghe and colleagues’ SICU study there was also a reduction in blood stream infections and reduced...
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intensive insulin therapy
Ngày tải lên :
13/08/2014, 09:38
... of diabetes requires: – Early diagnosis and treatment of diabetes – Maintaining HbA1C level < 7% • Achieving HbA1C < 7% requires control of post-prandial and fasting hyperglycemia www.diabetesclinic.c ... the UKPDS and revision of the guidelines affected by the results of this study www.diabetesclinic.c Steps to Glycemic Control • Establish glycemic objectives – Target fasting and post-prandial glycemia ... counseling with exercise component • Diabetes education for every patient • Pharmacological treatment; oral and insulin www.diabetesclinic.c Patient Counselling Topics A.Review symptoms and treatment...
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Báo cáo y học: "Cost-effectiveness of continuous glucose monitoring and intensive insulin therapy for type 1 diabetes" ppsx
Ngày tải lên :
13/08/2014, 11:22
... of blindness, lower extremity amputation, and end stage renal disease (i.e., neuropathy and CHD, nephropathy and CHD, retinopathy and CHD, neuropathy and nephropathy, where each were calculated ... reviewed and revised the clinical plausibility of the model PWS reviewed and revised the Markov model assumptions, and interpretation of the model results JDC and KVN revised Figure and wrote ... properties and moments of the respective distributions Appendix Table 2A and 2B show information on mortality rates Appendix Table and show more information related to Diabetes costs, and costs...
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Báo cáo y học: " Tight glucose control: should we move from intensive insulin therapy alone to modulation of insulin and nutritional inputs" pps
Ngày tải lên :
13/08/2014, 11:22
... be applied and to derive which benefits? Which is the best method to control glucose level intensive insulin therapy, and/ or limitation of nutritional intakes during acute phase, and/ or antidiabetic ... 1005-1011 Pittas AG, Siegel RD, Lau J: Insulin therapy and in-hospital mortality in critically ill patients: systematic review and metaanalysis of randomized controlled trials JPEN J Parenter Enteral ... which to control blood glucose levels in the ICU and perhaps throughout the hospital stay has begun, involving multidisciplinary teams of physicians and engineers who have specialized in control...
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Báo cáo y học: "Benefits of intensive insulin therapy on neuromuscular complications in routine daily critical care practice: a retrospective study" docx
Ngày tải lên :
13/08/2014, 11:23
... 5.0 (SAS Institute, Inc., Cary, NC) Baseline and outcome variables are presented as mean ± standard deviation if normally distributed, and median and interquartile range if skewed Data were compared ... of neurons and/ or muscle cells, and an effect on the balance between anabolism and catabolism We found no difference in the need for prolonged MV in the overall population before and after IIT ... assessment, and the inability to voluntarily contract muscles, interfering with correct motor unit potential analysis The pathophysiology of CIP/CIM is very complex and many factors and mechanisms,...
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Báo cáo y học: " Is reducing variability of blood glucose the real but hidden target of intensive insulin therapy" pot
Ngày tải lên :
13/08/2014, 16:20
... activation of protein kinase C and nuclear factor-kappa-B; and (d) increased hexosamine pathway flux [28,29] Furthermore, Watada and colleagues [30] and Azuma and colleagues [31] have shown that ... explanations for the association between glycemic variability and outcome which we and others have observed First, less glycemic variability may reflect more attention to detail in medical and ... was not [19] Waeschle and colleagues [20] assessed the relationship between glycemic variability and mortality in septic patients In this single-center prospective study, standard deviations of...
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Báo cáo y học: "Does intensive insulin therapy really reduce mortality in critically ill surgical patients? A reanalysis of meta-analytic data." pdf
Ngày tải lên :
13/08/2014, 21:21
... surgical ICUs and in medical ICUs We used the categorization of surgical patients and medical patients by the authors of the mixed ICU RCTs and assumed that trials conducted in surgical ICUs and medical ... 6.7 5.0
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