Viewing papers 1-3 of 3 for postprandial AND glycemic AND control AND diabetes AND mellitus

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Postprandial Glycemic Control Diabetes Mellitus Case Study

… ¶ … Postprandial Glycemic Control

Diabetes Mellitus

In this case study a 55-year-old female with type 2 diabetes mellitus is concerned about a dramatic postprandial spike in her blood glucose levels. Having been diagnosed with diabetes 20 years ago, it seems safe to assume that the postprandial spikes exceed current clinical recommendations for adequate glycemic control. This essay will review the significance of this sign and its etiology.

Glycemic Control

O'Keefe and colleagues (2011) begin their review of glycemic control by discussing the strong epidemiological evidence that links uncontrolled hyperglycemia to cardiovascular disease. Essentially, for every 1% increase in glycated hemoglobin (HbA1c) an individual will incur an 8 and 9% increase in the risk of myocardial infarction and stroke, respectively. HbA1c is an indicator of…. [read more]


Diabetes Mellitus in Pregnancy Research Paper

… Diabetes Mellitus in Pregnancy

Diabetes during pregnancy increases the risk for developing congenital anomalies by over 10 times. Maternal glycemic control is critical to prevent such abnormalities in the baby. When glycemic control is not achieved by dietary adjustments, commencing insulin therapy is strongly recommended. Regular monitoring of maternal glycemic levels and proper obstetric care should greatly help in reducing the potential health complications associated with diabetes during pregnancy.

Diabetes is the single most common complicating condition during pregnancy. [Rosenberg, (2005)] Gestational Diabetes Mellitus refers to the diagnosis of diabetes during pregnancy and it may be of either type 1 or type 2. In the United States 3 to 8 out of 100 pregnant women suffer from gestational diabetes. [Medline] In the UK also, 2…. [read more]


Efficacy and Safety of Oral Research Paper

… When these results are combined with reports that oral analogs in common use do not cross the placental barrier at significant levels to cause harm (Lee-Parritz, 2012), these insulin analogs appear to be safe and effective. Although metformin in some patients may require insulin supplementation, the evidence to date suggests that these analogs may provide glycemic control and pregnancy outcomes equal to insulin. In light of the potential for better patient compliance and the tendency of insulin to trigger postprandial hypoglycemia, these drugs appear to represent viable alternatives to insulin.

References

Dhulkotia, Jaya Saxena, Ola, Bolarinde, Fraser, Robert, and Farrell, Tom. (2010). Oral hypoglycemic agents vs. insulin in the management of gestational diabetes: A systematic review and meta-analysis. American Journal of Obstetrics & Gynecology, 203,…. [read more]

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