Rol' terapevticheskogo obucheniya patsientov na pompovoy insulinoterapii


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The main objective of treatment of diabetes mellitus is to achieve optimal long-term glycemic control; that is the basis of prevention of serious complications and maintaining the high quality of life for patients. However, the stable compensation of carbohydrate metabolism is virtually impossible without the active participation of the patient in treatment. Thus, today we not only need improvement the pharmacological approaches, but also creation and implementation in clinical practice a new structured training programs for diabetic patients for the purpose of improvement the effectiveness of the therapy. The results of the 12-month study involving 69 patients with type 1 diabetes mellitus who were on insulin pump therapy and basal-bolus insulin therapy are presented. The study was aimed to develop, implement and evaluate the clinical effectiveness of new educational programs for diabetic patients.

Full Text

Restricted Access

References

  1. The DCCT Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin dependent diabetes mellitus. The Diabetes Control and Complications Trial. N Engl J Med 1993;329:977-86.
  2. UK Prospective Diabetes Study (UKPDS) Group. Intensive blood-glucose control with sulpho-nylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 1998;352:837-53.
  3. de Weerdt I, Visser A, Kok G, van der Veen E. Randomized controlled evaluation of an education programme for insulin treated patients with diabetes: effects on psychosocial variables. Patient Educ Counsel 1989; 14:191-15.
  4. Tu K-S, McDaniel G, Templeton Gay J. Diabetes self-care knowledge, behaviors, and metabolic control of older adults: the effect of a postedu-cational follow-up program. Diabetes Educator 1993;19:25-30.
  5. Campbell E, Redman S, Moffitt P, Sanson-Fisher R. The relative effectiveness of educational and behavioral instruction programs for patients with NIDDM: a randomized trial. Diabetes Educator 1996;22:379-86.
  6. Bloomgarden Z, Karmally W, Metzger M, et al. Randomized, controlled trial of diabetic patient education: improved knowledge without improved metabolic status. Diabetes Care 1987;10:263-72.
  7. Korhonen T, Uusitupa M, Aro A, et al. Efficacy of dietary instructions in newly diagnosed non-insulindependent diabetic patients. Acta Med Scand 1987;222:323-31.
  8. Емельянов А.О., Кураева Т.Л., Лаптев Д.Н., Петеркова В.А. Проспективное наблюдение эффективности и безопасности помповой инсулинотерапии у детей и подростков // Сахарный диабет 2010. № 3. С. 143-46.
  9. Болотова Н.В., Компаниец О.В., Филина Н.Ю., Поляков В.К. Опыт использования помповой инсулинотерапии у детей и подростков с сахарным диабетом 1 типа // Сахарный диабет 2010. № 4. С. 93-6.
  10. Bergenstal RM, Tamborlane WV, Ahmann A, et al. Wood for the STAR 3 Study Group. Effectiveness of Sensor-Augmented Insulin-Pump Therapy in Type 1 Diabetes. N Engl J Med 2010;363:311-20.
  11. Karagianni P, Sampanis Ch, Katsoulis C, et al. Continuous subcutaneous insulin infusion versus multiple daily injections. HIPPOKRATIA 2009;13(2):93-6.
  12. Hanas R, Adolfsson P. Insulin pumps in pediatric routine care improve long-term metabolic control without increasing the risk of hypoglycemia. Pediatric Diabetes 2006;7:25-31.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies