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  Citation Number 1
 Views 13
 Downloands 3
Oral Antidiyabetik Tedavi ile Kan Şekeri Regüle Edilememiş Tip 2 Diyabetli Hastalarda Tedaviye İnsülin Glargin ve Tek Doz İnsülin Glulisin Eklenmesinin Etkinliğinin Retrospektif Olarak Değerlendirilmesi
2012
Journal:  
Uludağ Üniversitesi Tıp Fakültesi Dergisi
Author:  
Abstract:

Biri metformin olmak kaydıylaaz iki oral antidiyabetik ilaç (OAD=Oral Anti-diabetic Drug) ile kan şekeri regüle olmayıp (Hemoglobin A1c= HbA1c= %7-10) bazal-plus insülin tedavisi alan tip 2 diabetes mellitus (T2DM) tanılı hastalar retrospektif olarak değerlendirildi. İncelenen 78 hasta dosyasından 15 hastanın bazal-plus tedavi aldığı ve devam ettiği belirlendi. Sabah açlık kan şekeri değerlerine göre insülin glargin (17:00'de) başlanıp titre edildiği, takiplerindeyüksek postprandiyal kan şekeri değerlerine göre akşam öğününe insülin glulisin eklenip titre edildiği görüldü. İnsülin glargin sonrası sabah açlık, tokluk, gece 23:00 ve 02:00 kan şekeri değerlerinde, insülin glulisin sonrası akşam tokluk ve gece 23:00 kan şekeri değerlerinde anlamlı düşüş saptandı. HbA1c'de %8.3'ten %6.8'e anlamlı düşüş saptanırken (p<0.001), hipoglisemi ve kilo artışında anlamlı değişiklik saptanmadı. Sonuçta OAD ile kan şekeri regülasyonu sağlanamayan hastalarda bazal-plus insülin tedavisinin yan etki artışı yapmadan etkili kan şekeri regülasyonu ve HbA1c düşüşü sağladığı belirlendi. Bu sonuçlarla bazal-plus tedavisinin intensif insülin tedavisine geçişte uygun bir basamak olduğu kanaatine varıldı.

Keywords:

Oral Antidiabetic Treatment Unregulated Blood Sugar in Type 2 Diabetic Patients Treatment Insulin Glargin and Single-Dose Insulin Glulin Addition Effectiveness Retrospective
2012
Author:  
Abstract:

Patients diagnosed with type 2 diabetes mellitus (T2DM) with two oral anti-diabetic drugs (OAD=Oral Anti-diabetic Drug) not regulated blood sugar (Hemoglobin A1c=HbA1c=7%-10) and basal-plus insulin treatment were considered retrospective. Of the 78 patients surveyed, 15 patients were found to receive and continue basal-plus treatment. The morning hunger blood sugar values showed that insulin was triggered and triggered at 17:00, and the high postprandical blood sugar values showed that insulin was added and triggered to the evening meal. A significant decline in morning hunger, fatigue, night 23:00 and 02:00 blood sugar, after evening fatigue and night 23:00 blood sugar was observed. HbA1c is 8.3% to 6%. When a significant decline was detected to 8 (p<0.001), no significant changes were detected in hypoglycemia and weight gain. After all, in patients who cannot provide blood sugar regulation with OAD, basal-plus insulin treatment has been found to provide effective blood sugar regulation and HbA1c decrease without increasing side effects. With these results it was found that basal-plus therapy was a suitable step in the transition to intensive insulin therapy.

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Uludağ Üniversitesi Tıp Fakültesi Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

Metrics
Article : 880
Cite : 2.653
2023 Impact : 0.023
Uludağ Üniversitesi Tıp Fakültesi Dergisi