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Insulin dosage reduction. Evaluation of an education-stabilization programme for patients with insulin-dependent diabetes

Abstract

A retrospective survey was conducted of 52 consecutive subjects with insulin-treated diabetes who were attending an education-stabilization programme. Eleven subjects (21%) achieved more than a 20% reduction in daily insulin dosage six months after completion of the programme. Compared with the remainder of the group, these subjects had a significantly earlier age of onset, higher initial insulin dosage (mean, 61 units/day, compared with 39 units/day), higher initial insulin carbohydrate and fat consumption, but similar initial glycosylated haemoglobin levels. These results suggest that overinsulinization is a relatively frequent occurrence and should be particularly considered in younger patients who are receiving relatively large doses of insulin.

Type Journal
ISBN 0025-729X (Print)
Authors Danesi, G. A.;Chisholm, D. J.;Barnes, J. A.;Clark, E. M.;Campbell, L. V. :
Publisher Name MEDICAL JOURNAL OF AUSTRALIA
Published Date 1984-01-01 00:00:00
Published Volume 141
Published Issue 12-13
Published Pages 789-91
URL http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=6390103
Status Published In-print