Insulin dosage reduction. Evaluation of an education-stabilization programme for patients with insulin-dependent diabetes.
A retrospective survey was conducted of 52 consecutive subjects with insulin-treated diabetes who were attending an education-stabilization programme. Eleven subjects (21%) achieved more than a 20% reduction in daily insulin dosage six months after completion of the programme. Compared with the remainder of the group, these subjects had a significantly earlier age of onset, higher initial insulin dosage (mean, 61 units/day, compared with 39 units/day), higher initial insulin carbohydrate and fat consumption, but similar initial glycosylated haemoglobin levels. These results suggest that overinsulinization is a relatively frequent occurrence and should be particularly considered in younger patients who are receiving relatively large doses of insulin.
D000367:Age Factors; D001786:Blood Glucose / Q000032:analysis; D001835:Body Weight; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy*; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004041:Dietary Fats / Q000008:administration & dosage; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D007328:Insulin / Q000008:administration & dosage*; D008991:Monitoring, Physiologic; D010353:Patient Education as Topic; D012189:Retrospective Studies; D012648:Self Care; D013997:Time Factors
D001786:Blood Glucose; D004040:Dietary Carbohydrates; D004041:Dietary Fats; D006442:Glycated Hemoglobin; D007328:Insulin