Document Detail

Experiences of patients with insulin-treated diabetes in conscript military service.
MedLine Citation:
PMID:  17227329     Owner:  NLM     Status:  MEDLINE    
AIMS: To determine how young adults with insulin therapy manage daily care of diabetes during the physically demanding conditions of conscript military service, and to evaluate the effects of military service on glycaemic control and on the incidence of acute diabetic complications. METHODS: An observational study of 47 young male volunteer conscripts receiving insulin therapy was carried out at the Signal Regiment in Riihimäki from January 2001 to July 2005. Outcome measures were drop-out rate from service, management of diabetes care, glycaemic control, and occurrence of severe hypoglycaemia or ketoacidosis during service. RESULTS: Forty (85%) diabetic conscripts completed service, with service time ranging from 180 to 362 days, and seven (15%) interrupted service. One-third of conscripts reported difficulties during military training with insulin injections and blood glucose testing. The mean HbA(1c) during service increased by 0.6% units (P = 0.007) from baseline. Five events of severe hypoglycaemia in three conscripts (overall incidence rate 0.15 per patient-year) and one ketoacidosis event occurred. Diabetic conscripts were chosen for leadership training more often than non-diabetic conscripts. CONCLUSIONS: Our data suggest that selected and motivated adolescents on insulin therapy can manage the daily care of diabetes and maintain appropriate glycaemic control during service, although the risk of severe hypoglycaemia exists.
T Sane; A Rautuoja; M Mäkelä; J Westerberg; M Lehesjoki
Related Documents :
10566119 - Brittle diabetes characterised by recurrent hypoglycaemia.
19955549 - Evaluation of glycemic control using nph insulin sliding scale versus insulin aspart sl...
9545129 - Central pontine myelinolysis and ataxia: an unusual manifestation of hypoglycaemia.
15251769 - Effect of premixed nph and regular insulin on glucose control and health-related qualit...
1320539 - Cutaneous blood flow during a hypoglycaemic clamp in insulin-dependent diabetic patient...
20798069 - Identifying causes of adverse events detected by an automated trigger tool through in-d...
23828649 - Amniotic stem cell transplantation therapy for type 1 diabetes: a case report.
18785449 - Diabetes management in urban african americans: review of a public hospital experience.
9486419 - Differences in kappa to lambda (kappa:lambda) ratios of serum and urinary free light ch...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Diabetic medicine : a journal of the British Diabetic Association     Volume:  24     ISSN:  0742-3071     ISO Abbreviation:  Diabet. Med.     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-01-17     Completed Date:  2007-06-29     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8500858     Medline TA:  Diabet Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  87-90     Citation Subset:  IM    
Department of Endocrinology, Helsinki University Central Hospital, Helsinki, Finland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Blood Glucose Self-Monitoring / methods
Diabetes Mellitus, Type 1 / complications,  drug therapy*,  epidemiology
Diabetes Mellitus, Type 2 / complications,  drug therapy*,  epidemiology
Finland / epidemiology
Hypoglycemia / epidemiology,  etiology
Hypoglycemic Agents / therapeutic use*
Insulin, NPH / therapeutic use*
Military Personnel*
Risk Factors
Reg. No./Substance:
0/Hypoglycemic Agents; 53027-39-7/Insulin, NPH

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Asymmetrical dimethylarginine is related to renal function, chronic inflammation and macroangiopathy...
Next Document:  Bone loss in diabetic patients with chronic kidney disease.