The policy of the American Diabetes Association (reviewed in CONTEMPO four years ago) urging tight control of diabetes mellitus to prevent complications is becoming widely accepted as the therapeutic goal of most diabetologists.1,2 A number of technological advances have been made recently that permit achievement of these ends.One of the most commonly available, relatively inexpensive, and practical methods for patients not under good control with one daily injection of insulin uses home blood glucose monitoring.3 This technique uses multiple daily injections of insulin with dosages determined by the patient's repeated self-testing of blood glucose concentrations using convenient reagent strips.4More sophisticated (and more expensive) methods of controlling blood glucose concentration involve commercially available portable infusion pumps, which allow delivery of both a preprandial bolus of insulin and a steady flow of hormone between meals. Good results have been obtained when these pumps are employed by
Nusynowitz ML, Taylor TJ. Endocrinology. JAMA. 1982;247(21):2947–2949. doi:10.1001/jama.1982.03320460047017
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: