title: [The importance of blood glucose determination in self-monitoring of juvenile diabetes].
abstract: In diabetes there is a presence of a severely impaired energetic-metabolic, hormonally influenced, homeostasis; the functioning of the delicate, fine and useful metabolism adjustment on the feedback principal, which means a controlled use of energy for the present and the future, stops. The insulin which is given to diabetes patients subcutaneously has lost this homeostatic feedback feature, in regard to this "elasticity", and brutally intrudes, in other words, dictates the energetic homeostasis, at which insulin excess leads to a deficit of counter-insulin hormones in the blood (which is followed by hypoglycemia) and an insulin deficit leads to their excess (followed by hyperglycemia). Long-term oscillations of glycemias outside the accepted limits (4.5 to 11 mmol/l) are fatal to the diabetes patient-the risk of micro and macro-angiopathies. In the aim of the best possible harmonization of the type and dose of insulin, the interval between injection and meal, the extent of the meal and the level of physical activity in diabetes patients which are being treated with insulin, blood sugar should be determined at the critical points (1 hour before and 1 hr after the three main meals, as well as during the night at about 3 a.m.), and at representative days (at least two times a week). Today, only this form of control, self-monitoring, provides a continuous appropriate glycemia value, and with that a metabolic control which will enable the diabetes patient to be "conditionally healthy" and thus delay es as late as possible or/and prevent the appearance of blood vessel secondary chang.
authors.affiliation: Institut za zdravstvenu zastitu majke i deteta, Medicinski fakultet Novi Sad.
authors.forename: D
authors.initials: D
authors.lastname: Vuković
authors.forename: J
authors.initials: J
authors.lastname: Vlaski
mesh_terms: D001786:Blood Glucose / Q000032:analysis*; D015190:Blood Glucose Self-Monitoring; D003922:Diabetes Mellitus, Type 1 / Q000097:blood* / Q000188:drug therapy; D006801:Humans
chemical_list: D001786:Blood Glucose
vernacular_title: Znacaj odredivanja glikemije u samokontroli sećerne bolesti decjeg uzrasta.