Background: Hypoglycemia varies between patients with type 1 diabetes and is the main obstacle to therapy intensification. We investigated known and potential risk factors for hypoglycemia in subjects with type 1 diabetes.
Method: In the ASPIRE In-Home study (NCT01497938), a randomized trial of the threshold suspend (TS) feature of sensor-augmented insulin pump (SAP) therapy, subjects' propensity to nocturnal hypoglycemia (NH) was established in a 2-week run-in phase and assessed in a 3-month study phase via continuous glucose monitoring. Categorical variables were tested for association with NH rates in both phases.
Results: Elevated rates of NH were significantly associated with baseline A1C ≤7%, with bolus insulin deliveries unassisted by the bolus estimation calculator, and with assignment to the control group during the study phase.
Conclusions: Routine use of the TS feature and the bolus estimation calculator are strategies that may reduce the risk of NH.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4667346 | PMC |
| http://dx.doi.org/10.1177/1932296815586014 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Long-term follow-up of a patient with Parkinson's disease under nursing care after replacement of fixed implant-supported prostheses with an implant overdenture: a case report.
Int J Implant Dent
July 2024
Department of Oral and Maxillofacial Surgery, School of Medicine, Hyogo Medical University, Nishinomiya, Japan.
Article Synopsis
- This report discusses the replacement of fixed implant-supported prostheses (FIP) with implant overdentures (IOD) in an older Parkinson's disease patient to enhance oral hygiene and manage mucosal health.
- The patient struggled with various health issues, including hospitalization for cholecystitis and aspiration pneumonia, which complicated ongoing dental care and maintenance of the IOD.
- Despite efforts to manage the patient's condition and provide regular oral cleaning, complications like mucosal ulcers and peri-implantitis persisted, ultimately leading to inadequate care and hospital readmission.
Introduction: The Russia's full-scale invasion of Ukraine had a significant impact on the Russian-speaking identity, reformulating existing linguistic and cultural boundaries and shaping Russian speakers' self-perception and vision of the world. We focus on families with children who are trying to balance their inner and outer life in order to stabilize the positive environment of the upbringing process and analyze how adults explain to the children the need to learn the Russian, Ukrainian and other languages. This can shed light on the challenges and strategies employed in alleviating prejudiced attitudes against immigrants' languages and cultures which can cause alienation from the roots in the one-and-a-half and second generation.
View Article and Find Full Text PDFHome birth in Croatia - a medico-legal perspective today.
Med Leg J
December 2024
Faculty of Law, University of Zagreb, Croatia.
In Croatia, the model of obstetrics-midwifery management of childbirth in maternity hospitals is still in effect, and this is how > 99% of Croatian women give birth. However, in my view, midwives are still not sufficiently educated for completely independent work notwithstanding their university education. The Law on Midwifery defined the role of the midwife in home birth without, however, setting out other organisational-communication and professional provisions.
View Article and Find Full Text PDFSwallowing sound evaluation using an electronic stethoscope and artificial intelligence analysis for patients with amyotrophic lateral sclerosis.
Front Neurol
August 2023
Department of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.
Background And Purpose: Non-invasive, simple, and repetitive swallowing evaluation is required to prevent aspiration pneumonia in neurological care. We investigated the usefulness of swallowing sound evaluation in patients with amyotrophic lateral sclerosis (ALS) using our new electronic stethoscope artificial intelligence (AI) analysis tool.
Methods: We studied patients with ALS who provided written informed consent.
Physician practices in the diagnosis and treatment of infectious diseases in home care settings: A questionnaire study.
Glob Health Med
October 2022
AMR Clinical Reference Center, Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.
To elucidate the current practices of infectious disease management in home care settings in Japan, we sent a questionnaire to 36 physicians working at 13 clinics that specialize in providing care to patients in their homes or residential care facilities. The questionnaire described three hypothetical scenarios (aspiration pneumonia, pyelonephritis, and neoplastic fever) in older patients with terminal cancer, and 25 respondents answered questions on testing and treatment strategies. Most respondents chose to obtain cultures for aspiration pneumonia (sputum) and for pyelonephritis (urine), although fewer respondents chose to obtain blood cultures.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!