open access

Vol 3, No 2 (2002): Practical Diabetology
Original articles (submitted)
Published online: 2002-05-13
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Assessment of self monitoring of glycaemia in type 1 diabetic patients treated with functional insulin therapy

Magdalena Trepińska, Dorota Zozulińska, Aleksandra Araszkiewicz, Bogna Wierusz-Wysocka
Diabetologia Praktyczna 2002;3(2):69-74.

open access

Vol 3, No 2 (2002): Practical Diabetology
Original articles (submitted)
Published online: 2002-05-13

Abstract

INTRODUCTION. Self control of glycaemia play a key role in intensive insulin therapy. The aim of the study was to assess the quality of selfcontrol in patients with type I diabetes treated with intensive functional insulin therapy.
MATERIALS AND METHODS. We have recruited 100 patients aged 30.4 ± 10.1 years, with mean diabetes duration 9.7 ± 7.8 years, who were on intensive insulin therapy for 2.3 ± 1.2 years. All patients were given 5 day training about self adaptation of insulin doses. We assessed: self-control diary, number of daily glycaemia measurements and number of hypoglycaemic episodes. Our patients were divided into two groups: group A (< 3 glycaemia controls/day), group B (ł 3 glycaemia controls/day).
RESULTS. We observed that only 62.3% of patients kept self-control diary and 71% controlled glycaemia before main meals. We noticed significant difference in HbA1c level between group A and group B: 8.7 ± 1.7 and 6.3 ± 1.2% respectively (p < 0.0001). Moreover, patients in group A had more hypoglycaemic episodes in comparison with group B: 2.07 ± 2.22 and 1.05 ± 1.97 episodes/month/patient respectively (p < 0.05). There were no differences in the number of glycaemia measurements in patients with and without diabetic complications, but patients with late complications usually kept a better self-control diary.
CONCLUSIONS. Intensive insulin therapy give good metabolic control and does not increase the risk of hypoglycaemia only in those patients who regularly control glycaemia before main meals.
Many patients treated with intensive functional insulin therapy do not keep diabetic diary.
Presence of late complications of diabetes do not motivate our patients to frequently control glycaemia.

Abstract

INTRODUCTION. Self control of glycaemia play a key role in intensive insulin therapy. The aim of the study was to assess the quality of selfcontrol in patients with type I diabetes treated with intensive functional insulin therapy.
MATERIALS AND METHODS. We have recruited 100 patients aged 30.4 ± 10.1 years, with mean diabetes duration 9.7 ± 7.8 years, who were on intensive insulin therapy for 2.3 ± 1.2 years. All patients were given 5 day training about self adaptation of insulin doses. We assessed: self-control diary, number of daily glycaemia measurements and number of hypoglycaemic episodes. Our patients were divided into two groups: group A (< 3 glycaemia controls/day), group B (ł 3 glycaemia controls/day).
RESULTS. We observed that only 62.3% of patients kept self-control diary and 71% controlled glycaemia before main meals. We noticed significant difference in HbA1c level between group A and group B: 8.7 ± 1.7 and 6.3 ± 1.2% respectively (p < 0.0001). Moreover, patients in group A had more hypoglycaemic episodes in comparison with group B: 2.07 ± 2.22 and 1.05 ± 1.97 episodes/month/patient respectively (p < 0.05). There were no differences in the number of glycaemia measurements in patients with and without diabetic complications, but patients with late complications usually kept a better self-control diary.
CONCLUSIONS. Intensive insulin therapy give good metabolic control and does not increase the risk of hypoglycaemia only in those patients who regularly control glycaemia before main meals.
Many patients treated with intensive functional insulin therapy do not keep diabetic diary.
Presence of late complications of diabetes do not motivate our patients to frequently control glycaemia.
Get Citation

Keywords

type 1 diabetes; intensive insulin therapy; self-control

About this article
Title

Assessment of self monitoring of glycaemia in type 1 diabetic patients treated with functional insulin therapy

Journal

Clinical Diabetology

Issue

Vol 3, No 2 (2002): Practical Diabetology

Pages

69-74

Published online

2002-05-13

Bibliographic record

Diabetologia Praktyczna 2002;3(2):69-74.

Keywords

type 1 diabetes
intensive insulin therapy
self-control

Authors

Magdalena Trepińska
Dorota Zozulińska
Aleksandra Araszkiewicz
Bogna Wierusz-Wysocka

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