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At least 973 records · Page 54Linked to original sources
PubMed2005

Self monitoring blood glucose and quality of care.

Studies like the DCCT and the UKPDS showed that prevention of Type 1 diabetes mellitus complications can be obtained if glucose level is maintained as close as possible to normal. Consequently management of diabetes has significantly changed in the last two decades since the aim of maintaining a good metabolic control has been pursued through intensive insulin therapy and self-monitoring blood glucose (SMBG). However, although SMBG is extremely helpful in preventing and treating hypoglycaemia and ketoacidosis, its role in maintaining a good metabolic control is controversial. Both the American Diabetes Association and the International Society for Paediatric and Adolescent Diabetes recommend the use of SMBG to maintain specific glycaemic levels but suggest that this is possible only if the patient achieves good skills in interpreting self-monitored data and consequently in self-adjusting insulin therapy and modifying eating and activity. Few studies have addressed this question and almost no data is available on SMBG and metabolic control in children with T1DM. However it can be stated that SMBG, although considered a cornerstone in diabetes care, is a necessary but not sufficient tool for the patient to achieve self-management and that only self-management leads to a good metabolic control. Paediatric diabetologists have a crucial role in providing long-term, continuative education in the use of SMBG and in self-management of diabetes.

Adolescent↗
PubMedDate not supplied

Best practice in management of patients with acute stroke.

The management of the patient with acute stroke is very complex and covers all aspects from acute intervention to ensuring a dignified and pain-free death. Stroke has an increasing profile and with the proposed NICE paper on best practice due out in the next 18 months, the focus will be on the effective running of stroke units and the skills of nurses who work in them. It is essential that nurses keep up to date with developments and know how to provide the best, evidence-based care.

Acute Disease↗
PubMedDate not supplied

Patterns of interdialytic weight gain during the first year of hemodialysis.

This retrospective study describes patterns of interdialytic weight gain (IWG) over the first year of hemodialysis in 27 individuals. IWG increased over the first 12 weeks and appeared to reverse after 12 weeks, increasing again after 32 weeks. Interventions may need to occur after the individual has been receiving treatment for 12 weeks; booster interventions may be indicated after 32 weeks. Variability in the two measures used (mean daily interdialytic weight gain and mean daily percent above dry weight) suggests a need for further study.

Adult↗
PubMed2005

Dealing with diabetes.

Explore the source record for details and available documents.

Blood Glucose Self-Monitoring↗