A 2-es típusú cukorbetegség inzulinkezelése a háziorvosi gyakorlatban

Oláh, Ilona and Vörös, Krisztián (2023) A 2-es típusú cukorbetegség inzulinkezelése a háziorvosi gyakorlatban. LEGE ARTIS MEDICINAE, 33 (4). pp. 200-206. ISSN 0866-4811 (nyomtatott); 2063-4161 (elektronikus)

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Abstract

Insulin treatment is essential for survival of type 1 diabetes patients. Some people with type 2 diabetes, may also need insulin administration alongside with “non-insulin drugs” to ensure their good metabolic status. Insulin therapy has rapid and high impact, however with potential side effects, thus proper indication is the cornerstone of its use. In this review we ponder specific considerations for making proper decisions about introduction of insulin therapy. Further we summarize the number of insulin preparations and delivery systems available for specific treatment. There are discussed also the advantages of analogue insulin preparations contrasted to human ones. We present patient characteristics and therapeutic options for designing the treatment. All decisions should be made by consent of our patients. During the introduction of any insulin therapy, developing of the patient's self-management skills (DSMES) is particularly important. GPs play a pivotal role in selecting and delegating insulin dependent patients to the specific facilities and later supporting them in the follow-up. We aim to provide GPs with up-to-date and comprehensive information, and try to underline how they can contribute to the care of their diabetes patients. Finally we emphasize the most important features of collaboration with diabetes secondary care centers.

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