Principles of self-adjustment of insulin dose in people with diabetes type 2 and flexible insulin therapy

Diabetes Research and Clinical Practice

Volumn 116, Issue , 2016, Pages 165-170

  Kramer, G ^a   Kuniss, N ^a   Kloos, C ^a   Lehmann, T ^a   Muller N ^a   Sanow, B ^a   Lorkowski, S ^b,c   Wolf, G ^a   Muller U A ^a  

^a JENA UNIVERSITY HOSPITAL   (Germany)

^b FRIEDRICH SCHILLER UNIVERSITY JENA   (Germany)

^c Competence Cluster for Nutrition and Cardiovascular Health ^*  (Germany)

Author keywords

Flexible insulin therapy; Self adjustment of insulin dose; Type 2 diabetes mellitus

Indexed keywords

DIPEPTIDYL PEPTIDASE IV INHIBITOR; GLUCOSE; HEMOGLOBIN A1C; INSULIN; METFORMIN; ANTIDIABETIC AGENT;

ADULT; AGED; ARTICLE; BODY MASS; COHORT ANALYSIS; CONTROLLED STUDY; DIABETIC PATIENT; DISEASE DURATION; DOSE RESPONSE; FEMALE; HUMAN; HYPOGLYCEMIA; INSULIN TREATMENT; MAJOR CLINICAL STUDY; MALE; MEDICAL HISTORY; METABOLIC REGULATION; NON INSULIN DEPENDENT DIABETES MELLITUS; PATIENT SATISFACTION; PERSONAL EXPERIENCE; QUALITY OF LIFE; SELF CARE; STRUCTURED INTERVIEW; TERTIARY CARE CENTER; TREATMENT DURATION; WELLBEING; BLOOD GLUCOSE MONITORING; DIABETES MELLITUS, TYPE 2; PROCEDURES;

AGED; BLOOD GLUCOSE SELF-MONITORING; DIABETES MELLITUS, TYPE 2; FEMALE; HUMANS; HYPOGLYCEMIC AGENTS; INSULIN; MALE; SELF CARE;

EID: 84965050355     PISSN: 01688227     EISSN: 18728227     Source Type: Journal    
DOI: 10.1016/j.diabres.2016.04.017     Document Type: Article

References (22)

1. 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, 329:977-986.
2. Berger M., Jörgens V., Mühlhauser I., Zimmermann H. The value of education of diabetics in the therapy of type 1 diabetes. Dtsch Med Wochenschr 1983, 108:424-430.
3. Group DS Training in flexible, intensive insulin management to enable dietary freedom in people with type 1 diabetes: dose adjustment for normal eating (DAFNE) randomised controlled trial. Br Med J 2002, 325:746.
4. Sämann A., Mühlhauser I., Bender R., Kloos C., Müller U.A. Glycaemic control and severe hypoglycaemia following training in flexible, intensive insulin therapy to enable dietary freedom in people with type 1 diabetes: a prospective implementation study. Diabetologia 2005, 48:1965-1970.
5. Grüßer M., Jörgens V. Strukturiertes Behandlungs- und Schulungsprogramm für Typ-2-Diabetiker mit Normalinsulin Vor dem Essen Insulin 2012, Deutscher Ärzte-Verlag. 2nd ed.
6. Kulzer B., Hermanns N., Meier B., Haak T., Reinecker H. MEDIAS 2 ICT 2014, Kirchheim Verlag. 2nd ed.
7. UK Prospective Diabetes Study (UKPDS) Group Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33. Lancet 1998, 352:837-853.
8. Ohkubo Y., Kishikawa H., Araki E., Miyata T., Isami S., Motoyoshi S., Kojima Y., Furuyoshi N., Shichiri M. Intensive insulin therapy prevents the progression of diabetic microvascular complications in Japanese patients with non-insulin-dependent diabetes mellitus: a randomized prospective 6-year study. Diabetes Res Clin Pract 1995, 28:103-117.
9. The Action to Control Cardiovascular Risk in Diabetes Study Group Effects of intensive glucose lowering in type 2 diabetes. N Engl J Med 2008, 358:2545-2559.
10. The ADVANCE Collaborative Group Intensive blood glucose control and vascular outcomes in patients with type 2 diabetes. N Engl J Med 2008, 358:2560-2572.
11. Duckworth W., Abraira C., Moritz T., Reda D., Emanuele N., Reaven P.D., et al. VADT investigators. glucose control and vascular complications in veterans with type 2 diabetes. N Engl J Med 2009, 360:129-139.
12. Beluchin E., Bäz L., Müller N., Lehmann T., Kloos C., Wolf G., et al. Frequency of self-adjustment of insulin dose and metabolic control in type 2 diabetes - is there an association?. Diabet Med 2013, 30:e91-e94.
13. Schumann M. Electronic medical information system for long-term documentation of chronic diseases (EMIL), 2013 [Last accessed 26.08.15]. http://cleverdoku.de.
14. German Diabetes Association (DDG). Guidelines for recognition of a treatment institution - Certified Diabetes Center DDG (valid from 01.01.2015), 2015 [Last accessed 20.07.15]. http://www.deutsche-diabetes-gesellschaft.de/fileadmin/Redakteur/Zertifizierung/Basisanerkennung/Richtlinie_Zert_Diabeteszentrum_DDG_2015.pdf.
15. Dulon M., Bardehle D., Blettner M. Assessing social inequality in microcensus data and German national health examination survey. Gesundheitswesen 2003, 65:629-635.
16. Bradley C., Todd C., Gorton T., Symonds E., Martin A., Plowright R. The development of an individualized questionnaire measure of perceived impact of diabetes on quality of life: the ADDQoL. Qual Life Res 1999, 8:79-91.
17. The diabetes treatment satisfaction questionnaire: DTSQ. Handbook of psychology and diabetes: a guide to psychological measurements in diabetes research and practice 1994, Harwood Academic Publishers, Chur, Switzerland.
18. World Health Organization Info Package Mastering depression in primary care 1998, World Health Organization, Regional Office for Europe, Psychiatric Research Unit, Frederiksborg.
19. Wang C., Mamza J., Idris I. Biphasic vs basal bolus insulin regimen in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials. Diabet Med 2015, 32:585-594.
20. Edelman S.V., Liu R., Johnson J., Glass L.C. AUTONOMY: the first randomized trial comparing two patient-driven approaches to initiate and titrate prandial insulin lispro in type 2 diabetes. Diabetes Care 2014, 37:2132-2140.
21. German Diabetes Association. Evidence-based guideline - therapy of diabetes type 2, 2013.
22. Heller T., Kloos C., Kessler D., Muller N., Thierbach R., Wolf G., Müller U.A. Use of snacks in insulin-treated people with diabetes mellitus and association with HbA1c, weight and quality of life: a cross sectional study. Diabet Med 2015, 32:353-358.