By Leo Marriott
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Diabetes 2003; 52(6): 1469–1474. 20. Murphy NP, Ford-Adams ME, Ong KK, et al. Prolonged cardiac repolarisation during spontaneous nocturnal hypoglycaemia in children and adolescents with type 1 diabetes. Diabetologia 2004; 47(11):1940–1947. 21. The Diabetes Control and Complications Trial Research Group. The Effect of Intensive Treatment of Diabetes on the Development and Progression of Long-Term Complications in Insulin-Dependent Diabetes Mellitus. N Engl J Med 1993; 329(14):977–986. 22. Intensive Diabetes Treatment and Cardiovascular Disease in Patients with Type 1 Diabetes.
The risk of developing diabetes rises not only with overweight/obesity (body mass index, BMI>25 kg/m2 ) and lack of physical activity, but with Type 2 Diabetes 37 increasing age (>45 years) and family history (1). Specific population subgroups have a higher prevalence of diabetes than the population as a whole. 5%) (11). Women with a history of prior gestational diabetes or polycystic ovarian syndrome are at increased risk. Also, the predictive value of traditional and non-traditional risk factors has been evaluated in cohort studies (12, 13).
Patient’s preferences should be the predominant determinants for the injection system used and the type of insulin within its class that is prescribed. In-Hospital Blood Glucose Monitoring Intercurrent morbidity, such as infections or trauma, frequently worsens hyperglycemia by means of a temporarily diminished sensitivity for insulin, while on the other hand hypoglycemia is at stake in the presence of abdominal discomfort and diminished food intake. Consequently, in order to prevent ketoacidosis due to the absolute deficiency of insulin, patients should obtain either a low dose of basal insulin (50% of their usual dosage) or continuous intravenous insulin infusion.