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November 1985

Self-Monitoring of Blood Glucose in Diabetics Treated With Intraperitoneal Insulin-Reply

Arch Intern Med. 1985;145(11):2128. doi:10.1001/archinte.1985.00360110204045

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—The application of capillary blood glucose monitoring in patients undergoing CAPD is of clinical relevance. The authors share their observations in this communication that laboratory and capillary blood glucose values correlate very well in 30 patients undergoing CAPD.

This letter emphasizes an important use of capillary blood glucose monitoring in the management of patients undergoing treatment for chronic renal failure. Furthermore, it also underscores the ability to potentially achieve desirable levels of diabetes control in individuals manifesting a major complication of the disease. Although the use of intensive monitoring is commonly thought to be primarily beneficial to possibly prevent or mitigate the development of end-organ damage, Coronel et al suggest that good control is worthwhile and achievable in patients with fulminant nephropathy. It would be interesting to evaluate whether morbidity (eg, peritonitis) or mortality can be influenced in this population with continued excellent diabetes regulation even after renal failure has

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