| The many faces of type 2 diabetes. | |
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MedLine Citation:
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PMID: 20675986 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: This report illustrates the treatment progression of a patient with rapidly decompensating type 2 diabetes. METHODS: The patient had to transition to insulin therapy within 2 years of her initial diagnosis, following only a brief period of glycemic control with diet management, weight loss, and oral agents. This relatively rapid progression to insulin requirement is occasionally seen in adults with typical type 2 diabetes that may classify as a number of different subtypes of diabetes. RESULTS: The case presented demonstrates how a simple stepwise approach to dose titration with basal insulin helped a patient with severe depletion of endogenous insulin achieve initial glycemic control, and how the addition of prandial insulin helped control her mealtime glycemic excursions. CONCLUSION: The use of basal-prandial insulin therapy is an effective option for patients with rapidly decompensating type 2 diabetes to achieve their glycemic goals without delays and to minimize associated morbidities. |
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Authors:
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Thomas Flood |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Postgraduate medicine Volume: 122 ISSN: 1941-9260 ISO Abbreviation: Postgrad Med Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-08-02 Completed Date: 2010-09-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401147 Medline TA: Postgrad Med Country: United States |
Other Details:
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Languages: eng Pagination: 218-23 Citation Subset: AIM; IM |
Affiliation:
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Georgia Center for Diabetes, Atlanta, GA 30342, USA. sugardoctor@mindspring.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diabetes Mellitus, Type 2
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diagnosis,
drug therapy* Female Humans Hypoglycemic Agents / therapeutic use* Insulin / analogs & derivatives*, therapeutic use Middle Aged |
| Chemical | |
Reg. No./Substance:
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0/Hypoglycemic Agents; 0/glargine; 11061-68-0/Insulin; 207748-29-6/insulin glulisine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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