| Experiences of patients with insulin-treated diabetes in conscript military service. | |
| | |
MedLine Citation:
|
PMID: 17227329 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
T Sane; A Rautuoja; M Mäkelä; J Westerberg; M Lehesjoki |
Related Documents
:
|
11553179 - Glucose counterregulation in type 2 diabetes mellitus. 17298589 - Insulin glargine in combination with nateglinide in people with type 2 diabetes: a rand... 1222999 - Acid inhibiton in insulin test- a preliminary report. 22334369 - Chronic hepatitis c genotype 1 patients with insulin resistance treated with pioglitazo... 9405909 - Nighttime insulin kinetics and glycemic control in type 1 diabetes patients following a... 18692269 - Risk of exercise-induced hypoglycaemia in patients with type 2 diabetes on intensive in... 10030759 - Fasting hyperglycaemia with oral glucose tolerance in acute trypanosoma congolense infe... 19485889 - Insulin action on the human placental endothelium in normal and diabetic pregnancy. 17910279 - Relationship between level of circulating modified ldl and the extent of coronary arter... |
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 |
Affiliation:
|
Department of Endocrinology, Helsinki University Central Hospital, Helsinki, Finland. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Blood Glucose Self-Monitoring / methods Diabetes Mellitus, Type 1 / complications, drug therapy*, epidemiology Diabetes Mellitus, Type 2 / complications, drug therapy*, epidemiology Finland / epidemiology Humans Hypoglycemia / epidemiology, etiology Hypoglycemic Agents / therapeutic use* Insulin, NPH / therapeutic use* Male Military Personnel* Risk Factors |
| Chemical | |
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.