外来における前向きインスリンスライディングスケールの有用性について

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  • Effectiveness of Prospective Insulin Sliding Scale for Outpatients with Diabetes Mellitus.
  • ガイライ ニ オケル マエムキ インスリンスライディングスケール ノ ユウヨウセイ ニ ツイテ

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The self-monitoring of blood glucose is a recommendable method for control of diabetes mellitus. But few reports of the prospective insulin sliding scale for outpatients were available in Japan. To elucidate the efficacy of the prospective insulin sliding scale for outpatients with diabetes mellitus, 14 insulin-treated patients who usedwith the prospective insulin sliding scale (scale group) and 14 insulin-treated patients who did not use with the prospective insulin sliding scale (control group) were studied over a period of 6 months.<BR>The control group showed no significant change of Hb Aic level. But the scale group showed a significant reduction in Hb Aic level at 5 months (8.37 ± 1.14% to 7.50 ±1.42%, p<0.008). The scale group had an almost two fold increase in the frequency in hypoglycemia. However, there was no severe hypoglycamia. There were weight gains in the control group and scale group, but there was no difference between control group and scale group.<BR>These data suggest that the prospective insulin sliding scale is useful for the better control of diabetes mellitus.

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