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- December 1, 2008 |
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"Limitations to Achieving Good Glycaemic Control"Dr. Roger Chen (biography)
English - 2004-06-26 - 36 minutes
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Summary :
Several studies have demonstrated the prevalence of suboptimal glycaemic control in diabetic patients from different parts of the world.
A recent survey of 300 primary health care physicians done by Blonde et al. and presented at the 64th ADA meeting of June 2004, showed that apparent reasons for suboptimal glycaemic control were non-adherence to pharmacological and non-pharmacological treatments, lack of patient motivation and insufficient physician time.
The UKPD and Steno-2 were long-term studies that showed the inadequacy of monotherapy and the superior efficacy of an intensive treatment approach in order to achieve glycaemic control in type 2 diabetic patients. Poor diet and lack of exercise in diabetic patients are major obstacles to be overcome, as they contribute to obesity and suboptimal glycaemic control. The use of newer pharmacological agents and optimization of insulin use may also improve glycaemic control.
Copyright © 2004 E-MedHosting.com Inc.
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- The prevalence of suboptimal glycaemic control in type 2 diabetes
- Possible causes of suboptimal glycaemic control
Bibliographic references :
C.R.Bruce, A.D.Kriketos, G.J.Cooney and J.A.Hawley. Disassociation of muscle triglyceride content and insulin sensitivity after exercise training in patients with Type 2 diabetes Diabetologia 2004; 47(1):23-30.
Joyce A. Cramer. A Systematic Review of Adherence With Medications for Diabetes Diabetes Care 2004; 27:1218-1224.
Alison Kirk, BSC, Nanette Mutrie, PHD, Paul MacIntyre, MD and Miles Fisher, MD. Increasing Physical Activity in People With Type 2 Diabetes Diabetes Care 2003; 26:1186-1192.
Arch G. Mainous, III, PhD, Richelle J. Koopman, MD, James M. Gill, MD, MPH, Richard Baker, MD and William S. Pearson, MHA Relationship Between Continuity of Care and Diabetes Control: Evidence From the Third National Health and Nutrition Examination Survey American Journal of Public Health 2004; 94(1):66-70.
Marre, M. Before oral agents fail: the case for starting insulin early Int'l J Obesity 2002; Volume 26, Supplement 3, Pages S25-S30.
Yuzo Sato, Masaru Nagasaki, Naoya Nakai and Takashi Fushimi. Physical Exercise Improves Glucose Metabolism in Lifestyle-Related Diseases Experimental Biology and Medicine 2003; 228:1208-1212.
Kevin R. Short, Janet L. Vittone, Maureen L. Bigelow, David N. Proctor, Robert A. Rizza, Jill M. Coenen-Schimke, and K. Sreekumaran Nair. Impact of Aerobic Exercise Training on Age-Related Changes in Insulin Sensitivity and Muscle Oxidative Capacity Diabetes 2003 52(8):1888-1896.
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