Open AccessA fairy tale of modern insulin therapy in type 1 diabetes
Author(s) -
Νικόλαος Παπάνας,
Μαρία Δημητρίου,
Efstratios Maltezos
Publication year - 2010
Publication title -
world journal of diabetes
Language(s) - English
Resource type - Journals
ISSN - 1948-9358
DOI - 10.4239/wjd.v1.i4.109
Subject(s) - medicine , glycemic , insulin , type 1 diabetes , diabetes mellitus , flexibility (engineering) , intensive care medicine , duty , type 2 diabetes , patient education , endocrinology , family medicine , philosophy , statistics , mathematics , theology
In type 1 diabetes, flexible, intensive insulin management improves not only glycemic control but also dietary freedom and treatment satisfaction. Such flexibility has been made possible with the new insulin analogues (as part of a basal-bolus regime) and is now gaining wide applicability, especially among children and adolescents. This approach requires appropriate individualized patient education. Especially for adolescents, the clinician should be able to guarantee insightful participation in direct response to their attitudes, wishes and needs. This patient-and-doctor collaboration is an ever-challenging duty and has the potential to change the future of the individual diabetic patient.