[Evaluation of diabetic glycemic control in hospital and extra-hospital regimen (author's transl)].
It is suggested an evaluation of the degree of diabetic control in insulin-dependent "difficult" patient, during the period following the discharge from hospital. In 13 cases, the quality of glycemic regulation was compared in intra- and extra-hospital therapeutic regimen by means of 3 new indices of the diurnal blood sugar profile: the Mbs, delta, and Mdelta values. Mbs value describescribes the mean level of the blood sugar curve; delta indicates the amplitidue of the glycemic variability field; Mdelta reports both maximal and minimal extremes of the curve. A combination of the first two parameters proved adequate for a clinical assessment of diabetic control. In the majority of the cases, blood glucose patterns were found similar or even improve in extra-hospital conditions. The insulin dosage ordered during hospital staying was confirmed in all, but one, patients. Psychological approach is probably essential for such good results. The procedure seems to be suitable in order to establish a more correct starting point for an effective treatment of the diabetic out-patient.
D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000032:analysis* / Q000096:biosynthesis; D002940:Circadian Rhythm; D003920:Diabetes Mellitus / Q000188:drug therapy*; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007328:Insulin / Q000627:therapeutic use*; D008297:Male; D008722:Methods; D008875:Middle Aged; D013997:Time Factors
D001786:Blood Glucose; D007328:Insulin
Valutazione del controllo del diabete insulino-dipendente in regime intra- ed extra-ospedaliero per mezzo di nuovi indici numerici del profilo glicemico giornaliero