A comparison of insulin regimens in insulin-dependent diabetes mellitus

J. S. Skyler, D. E. Seigler, M. L. Reeves

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19 Scopus citations

Abstract

Glycemic control in 10 ambulatory patients with insulin-dependent diabetes mellitus was compared on three intensive treatment regimens: (1) twice-daily regular and lente insulin; (2) multiple preprandial injections of regular insulin accompanied by long-acting ultralente insulin; and (3) continuous subcutaneous insulin infusion with a portable infusion pump. All regimens included (1) careful attention to diet, exercise, and insulin; (2) patient self-monitoring of blood glucose; and (3) the use of algorithms for the attainment of improved control. Treatment periods were 2 mo in duration. All parameters of glycemic control evaluated (including inpatient mean plasma glucose, mean amplitude of glycemic excursions, M-value, urinary glucose excretion; glycosylated hemoglobin; and outpatient blood glucose values) showed marked improvement from baseline, yet no difference when the intensive regimens were compared with each other. All elements of the treatment system appeared to be important in achieving improved glycemic control.

Original languageEnglish (US)
Pages (from-to)11-18
Number of pages8
JournalDiabetes care
Volume5
Issue numberSuppl. 1
StatePublished - Jan 1 1982

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ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialized Nursing

Cite this

Skyler, J. S., Seigler, D. E., & Reeves, M. L. (1982). A comparison of insulin regimens in insulin-dependent diabetes mellitus. Diabetes care, 5(Suppl. 1), 11-18.