Document Detail


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
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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.
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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


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