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[Insulin therapy in type II diabetes]
1Medizinischen Klinik und Poliklinik mit Schwerpunkten Endokrinologie, Diabetes und Stoffwechselerkrankungen, Klinikums der Johannes-Gutenberg-Universität, Mainz, Deutschland.
Wiener Medizinische Wochenschrift (1946)
|January 1, 1997
Summary
Intensified insulin therapy for type II diabetes offers no improved metabolic control compared to conventional methods. While it subjectively increases comfort, patient education is crucial for effective management and preventing complications.
Area of Science:
- Endocrinology
- Metabolic Diseases
Background:
- Type II diabetes management often involves conventional insulin therapy.
- Intensified insulin regimens are explored for potential benefits.
Purpose of the Study:
- To compare the efficacy of intensified insulin therapy (4 injections/day) versus conventional therapy (2 injections/day) in type II diabetics.
- To assess metabolic control, hypoglycemic episodes, and quality of life.
Main Methods:
- Comparison of two groups of type II diabetic patients: one on intensified insulin therapy, the other on conventional therapy with a strict diet.
- Evaluation of metabolic control and frequency of hypoglycemia.
Main Results:
- Intensified insulin therapy showed similar metabolic control to conventional therapy.
- No significant difference in hypoglycemic episodes was observed between the groups.
- Intensified therapy was associated with subjectively increased comfort and quality of life.
Conclusions:
- Intensified insulin therapy does not offer superior metabolic control in type II diabetes compared to conventional methods.
- Effective management requires early education and continuous reinforcement, especially for elderly patients.
- Patient empowerment and increased therapeutic effort may be key to preventing long-term diabetic complications.