TY - JOUR
T1 - Complications of Insulin-Dependent Diabetes Mellitus
T2 - Management of Insulin Reactions and Acute Illness
AU - MILES, JOHN M.
AU - JENSEN, MICHAEL D.
PY - 1986
Y1 - 1986
N2 - Occasional mild hypoglycemia is an unavoidable and usually acceptable side effect of intensive insulin therapy. Patients with insulin-dependent diabetes mellitus may have impaired glucose counterregulation, which may increase the risk of hypoglycemia and justify less ambitious glycemic goals. A conservative but flexible approach to the treatment of insulin reactions is appropriate in order to avoid hyperglycemia. Insulin requirements are often increased during acute illness, and frequent self-monitoring of blood glucose concentrations is necessary to determine the need for supplementation with regular insulin. Frequent supplementation, together with modification of diet and maintenance of fluid intake, should not only minimize the need for hospitalization but also prevent severe deterioration in glycemic control.
AB - Occasional mild hypoglycemia is an unavoidable and usually acceptable side effect of intensive insulin therapy. Patients with insulin-dependent diabetes mellitus may have impaired glucose counterregulation, which may increase the risk of hypoglycemia and justify less ambitious glycemic goals. A conservative but flexible approach to the treatment of insulin reactions is appropriate in order to avoid hyperglycemia. Insulin requirements are often increased during acute illness, and frequent self-monitoring of blood glucose concentrations is necessary to determine the need for supplementation with regular insulin. Frequent supplementation, together with modification of diet and maintenance of fluid intake, should not only minimize the need for hospitalization but also prevent severe deterioration in glycemic control.
UR - http://www.scopus.com/inward/record.url?scp=0022528345&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0022528345&partnerID=8YFLogxK
U2 - 10.1016/S0025-6196(12)64823-X
DO - 10.1016/S0025-6196(12)64823-X
M3 - Article
C2 - 3528694
AN - SCOPUS:0022528345
SN - 0025-6196
VL - 61
SP - 820
EP - 824
JO - Mayo Clinic proceedings
JF - Mayo Clinic proceedings
IS - 10
ER -