Educational guidelines for achieving tight control and minimizing complications of type 1 diabetes

Authors
Citation
S. Havas, Educational guidelines for achieving tight control and minimizing complications of type 1 diabetes, AM FAM PHYS, 60(7), 1999, pp. 1985-1992
Citations number
31
Language
INGLESE
art.tipo
Article
Categorie Soggetti
General & Internal Medicine
Journal title
AMERICAN FAMILY PHYSICIAN
ISSN journal
0002-838X → ACNP
Volume
60
Issue
7
Year of publication
1999
Pages
1985 - 1992
Database
ISI
SICI code
0002-838X(19991101)60:7<1985:EGFATC>2.0.ZU;2-E
Abstract
Tight glucose control with intensive therapy in patients with type 1 diabet es (formerly known as juvenile-onset or insulin-dependent diabetes) can del ay the onset and slow the progression of retinopathy, nephropathy and neuro pathy. Optimal blood glucose control is defined by a target glycosylated he moglobin level of less than 7 percent, a preprandial glucose level of 80 to 120 mg per dL (4.4 to 6.7 mmol per L) and a bedtime glucose level of 100 t o 140 mg per dL (5.6 to 7.8 mmol per L). This article provides guidelines t o help family physicians teach patients with type 1 diabetes how to achieve tight glucose control to help minimize complications. Guidelines include m aintaining blood glucose levels at near normal by taking doses of short-act ing insulin throughout the day supplemented by a nighttime dose of intermed iate-acting insulin, monitoring blood glucose levels frequently, following a prudent diet, exercising regularly and effectively managing hypoglycemia, as well as empowering patients to lead their control efforts and rigorousl y controlling other risk factors for cardiovascular disease. Support from p hysicians, family members and friends is crucial to the success of a regime n of tight glucose control.