Pub Date : 1981-02-01DOI: 10.1177/263501068100700126
J. Kirkpatrick
{"title":"Book Review: Exchange List and Diet Patterns","authors":"J. Kirkpatrick","doi":"10.1177/263501068100700126","DOIUrl":"https://doi.org/10.1177/263501068100700126","url":null,"abstract":"","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"7 1","pages":"47 - 47"},"PeriodicalIF":1.9,"publicationDate":"1981-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66052536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1981-01-23DOI: 10.1001/JAMA.1981.03310290004002
W. Check
In mid-December, five Wichita, Kan, patients with newly diagnosed diabetes became the first humans to be treated with a substance produced by recombinant DNA technology. The five began therapy with insulin produced by bacteria into which the human insulin gene had been introduced. The recombinant insulin (also known as biosynthetic insulin), which is being produced by Eli Lilly and Co, had previously been administered to healthy human volunteers in the United States, Great Britain, Greece, and West Germany and found to be free of toxic effects. Phase II testing of the substance is now being carried out under the supervision of Richard Guthrie, MD, professor and chairman of the Department of Pediatrics at the University of Kansas School of Medicine in Wichita; Arthur Krosnick, MD, of the Mercer Medical Center in Trenton, NJ; and Frederick Whitehouse, MD, a former president of the American Diabetes Association who is with the Henry
{"title":"Bacterially Produced Human Insulin Given Therapeutically","authors":"W. Check","doi":"10.1001/JAMA.1981.03310290004002","DOIUrl":"https://doi.org/10.1001/JAMA.1981.03310290004002","url":null,"abstract":"In mid-December, five Wichita, Kan, patients with newly diagnosed diabetes became the first humans to be treated with a substance produced by recombinant DNA technology. The five began therapy with insulin produced by bacteria into which the human insulin gene had been introduced. The recombinant insulin (also known as biosynthetic insulin), which is being produced by Eli Lilly and Co, had previously been administered to healthy human volunteers in the United States, Great Britain, Greece, and West Germany and found to be free of toxic effects. Phase II testing of the substance is now being carried out under the supervision of Richard Guthrie, MD, professor and chairman of the Department of Pediatrics at the University of Kansas School of Medicine in Wichita; Arthur Krosnick, MD, of the Mercer Medical Center in Trenton, NJ; and Frederick Whitehouse, MD, a former president of the American Diabetes Association who is with the Henry","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"6 7","pages":"42 - 42"},"PeriodicalIF":1.9,"publicationDate":"1981-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/JAMA.1981.03310290004002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50818436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1980-08-01DOI: 10.1177/263501068100700113
Phillis A. Crapo, Orville G. Kolertman, N. Waldeck, G. Reaven, J. Olefsky
We have studied the effects of dextrose, rice, potato, corn, and bread on postprandial plasma glucose, insulin and glucagon responses in 11 subjects with impaired glucose tolerance. All carbohydrate loads were calculated to contain 50 g of glucose. The data demonstrate that 1) dextrose and potato elicited similar plasma glucose responses whereas rice, and bread elicited lower responses with corn intermediate; 2) dextrose and potato elicited similar plasma insulin responses whereas rice gave lower responses, with bread and corn intermediate; 3) all of the carbohydrate loads suppressed plasma glucagon with dextrose causing the greatest suppression. In conclusion, there is a range of plasma glucose, insulin, and glucagon responses to different complex carbohydrates in subjects with impaired glucose tolerance and the differences in plasma glucose responses may be of therapeutic value in controlling hyperglycemia.
{"title":"Postprandial Hormonal Responses to Different Types of Complex Carbohydrate in Individuals with Impaired Glucose Tolerance","authors":"Phillis A. Crapo, Orville G. Kolertman, N. Waldeck, G. Reaven, J. Olefsky","doi":"10.1177/263501068100700113","DOIUrl":"https://doi.org/10.1177/263501068100700113","url":null,"abstract":"We have studied the effects of dextrose, rice, potato, corn, and bread on postprandial plasma glucose, insulin and glucagon responses in 11 subjects with impaired glucose tolerance. All carbohydrate loads were calculated to contain 50 g of glucose. The data demonstrate that 1) dextrose and potato elicited similar plasma glucose responses whereas rice, and bread elicited lower responses with corn intermediate; 2) dextrose and potato elicited similar plasma insulin responses whereas rice gave lower responses, with bread and corn intermediate; 3) all of the carbohydrate loads suppressed plasma glucagon with dextrose causing the greatest suppression. In conclusion, there is a range of plasma glucose, insulin, and glucagon responses to different complex carbohydrates in subjects with impaired glucose tolerance and the differences in plasma glucose responses may be of therapeutic value in controlling hyperglycemia.","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"7 1","pages":"43 - 43"},"PeriodicalIF":1.9,"publicationDate":"1980-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66051795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1980-07-01DOI: 10.1177/263501068100700115
S. Fitzgerald
This review from the Royal Infirmary in Edinburgh , Scotland concerns the safety of the various birth control methods in insulin dependent diabetic women . Combined estrogen/ progestogen pills were associated with an increased risk of thromboembolic disease . Thromboembolic complications included cerebral ischemia, myocardial infarction, and vein thrombosis. In contrast, the progestogen-only pill was found to be successful and associated with only menstrual irregular ities. Intrauterine devices were assoc iated with a high failure rate (11 of 30 became pregnant during the first year) . They concluded that the combined estrogen/progestogen pill and intrauterine devices were potentially dangerous and/or unacceptable forms of contraception and the progestogenonly pill was the preferred method of contraception in insulin-dependent diabetic women . Stephen Hamburger, MD
{"title":"Utilizing Orem's Self-Care Nursing Model in Designing an Educational Program for the Diabetic","authors":"S. Fitzgerald","doi":"10.1177/263501068100700115","DOIUrl":"https://doi.org/10.1177/263501068100700115","url":null,"abstract":"This review from the Royal Infirmary in Edinburgh , Scotland concerns the safety of the various birth control methods in insulin dependent diabetic women . Combined estrogen/ progestogen pills were associated with an increased risk of thromboembolic disease . Thromboembolic complications included cerebral ischemia, myocardial infarction, and vein thrombosis. In contrast, the progestogen-only pill was found to be successful and associated with only menstrual irregular ities. Intrauterine devices were assoc iated with a high failure rate (11 of 30 became pregnant during the first year) . They concluded that the combined estrogen/progestogen pill and intrauterine devices were potentially dangerous and/or unacceptable forms of contraception and the progestogenonly pill was the preferred method of contraception in insulin-dependent diabetic women . Stephen Hamburger, MD","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"7 1","pages":"43 - 43"},"PeriodicalIF":1.9,"publicationDate":"1980-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66051912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1980-03-21DOI: 10.1001/JAMA.1980.03300370021019
R. W. Turkington
Fifty-nine patients referred for painful diabetic neuropathy of the lower extremities were evaluated for depression and response to antidepressant drug therapy in a double-blind controlled study. All patients were found to have substantial degrees of depression during psychiatric interview and by Kupfer-Detre test scores (8.1 +/- 0.6, as compared with control values of 4.0 to 4.3 +/- 0.2). Treatment with imipramine hydrochloride or amitriptyline hydrochloride resulted in complete remission of lower extremity pains in all patients in 10 +/- 2 weeks, with concomitant relief of depression and return of depression test scores to 3.8. These results suggest that the syndrome of painful diabetic neuropathy of the lower extremities represents a depressive equivalent in a large proportion of cases and that treatment with imipramine or amitriptyline is a successful mode of therapy for such persons.
{"title":"Depression Masquerading as Diabetic Neuropathy","authors":"R. W. Turkington","doi":"10.1001/JAMA.1980.03300370021019","DOIUrl":"https://doi.org/10.1001/JAMA.1980.03300370021019","url":null,"abstract":"Fifty-nine patients referred for painful diabetic neuropathy of the lower extremities were evaluated for depression and response to antidepressant drug therapy in a double-blind controlled study. All patients were found to have substantial degrees of depression during psychiatric interview and by Kupfer-Detre test scores (8.1 +/- 0.6, as compared with control values of 4.0 to 4.3 +/- 0.2). Treatment with imipramine hydrochloride or amitriptyline hydrochloride resulted in complete remission of lower extremity pains in all patients in 10 +/- 2 weeks, with concomitant relief of depression and return of depression test scores to 3.8. These results suggest that the syndrome of painful diabetic neuropathy of the lower extremities represents a depressive equivalent in a large proportion of cases and that treatment with imipramine or amitriptyline is a successful mode of therapy for such persons.","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"74 10","pages":"43 - 43"},"PeriodicalIF":1.9,"publicationDate":"1980-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/JAMA.1980.03300370021019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50818261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1980-01-01DOI: 10.1001/jama.243.11.1151
D. D. Johnson, K. E. Dorr, W. M. Swenson, F. J. Service
The clinical characteristics and scores on the Minnesota Multiphasic Personality Inventory (MMPI) of 192 patients undergoing a five-hour oral glucose tolerance test (OGTT) for evaluation of reactive hypoglycemia were assessed. There were twice as many women as men. One hundred twenty-nine patients had spells of light-headedness, shakiness, diaphoresis, weakness, and fatigue. Hypoglycemic symptoms occurring during the test were not related to level of plasma glucose nadir or to rate of descent of glucose level. Hypoglycemia was not found when glucose levels were measured during occurrence of spontaneous symptoms in 86 patients. MMPI scores were significantly different from those of general medical patients. Both men and women evinced a conversion V profile. The five-hour OGTT seems unreliable for the diagnosis of reactive hypoglycemia, and most patients with symptoms suggestive of hypoglycemia may have emotional disturbances.
{"title":"Reactive hypoglycemia.","authors":"D. D. Johnson, K. E. Dorr, W. M. Swenson, F. J. Service","doi":"10.1001/jama.243.11.1151","DOIUrl":"https://doi.org/10.1001/jama.243.11.1151","url":null,"abstract":"The clinical characteristics and scores on the Minnesota Multiphasic Personality Inventory (MMPI) of 192 patients undergoing a five-hour oral glucose tolerance test (OGTT) for evaluation of reactive hypoglycemia were assessed. There were twice as many women as men. One hundred twenty-nine patients had spells of light-headedness, shakiness, diaphoresis, weakness, and fatigue. Hypoglycemic symptoms occurring during the test were not related to level of plasma glucose nadir or to rate of descent of glucose level. Hypoglycemia was not found when glucose levels were measured during occurrence of spontaneous symptoms in 86 patients. MMPI scores were significantly different from those of general medical patients. Both men and women evinced a conversion V profile. The five-hour OGTT seems unreliable for the diagnosis of reactive hypoglycemia, and most patients with symptoms suggestive of hypoglycemia may have emotional disturbances.","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"34 7","pages":"1151-5"},"PeriodicalIF":1.9,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50843053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1979-06-01DOI: 10.1177/263501067900500204
Elizabeth A. Coon, Jamie S. Lawson
{"title":"Counseling the Camp Counselor","authors":"Elizabeth A. Coon, Jamie S. Lawson","doi":"10.1177/263501067900500204","DOIUrl":"https://doi.org/10.1177/263501067900500204","url":null,"abstract":"","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"5 1","pages":"19 - 20"},"PeriodicalIF":1.9,"publicationDate":"1979-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66051322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1979-06-01DOI: 10.1177/263501067900500202
B. Kelly
Although the currently available tests for glycosuria are not difficult to perform, research has shown nurses and auxiliary personnel to be inaccurate in the performance and/ or interpretation of the tests l .3-phenomena which can adversely affect the patient's therapeutic regimen . Derr'' observed that nurses "are often casual about urine testing procedures ." Schumann" reported that "studies suggest that not only do many nurses not understand how to conduct urine tests but that nurses are among the most careless in performing them. "
{"title":"Methods of Glycosuria Testing: A Reference for Nursing Personnel","authors":"B. Kelly","doi":"10.1177/263501067900500202","DOIUrl":"https://doi.org/10.1177/263501067900500202","url":null,"abstract":"Although the currently available tests for glycosuria are not difficult to perform, research has shown nurses and auxiliary personnel to be inaccurate in the performance and/ or interpretation of the tests l .3-phenomena which can adversely affect the patient's therapeutic regimen . Derr'' observed that nurses \"are often casual about urine testing procedures .\" Schumann\" reported that \"studies suggest that not only do many nurses not understand how to conduct urine tests but that nurses are among the most careless in performing them. \"","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"5 1","pages":"7 - 12"},"PeriodicalIF":1.9,"publicationDate":"1979-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66051514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1979-06-01DOI: 10.1177/263501067900500207
C. Sinicki, C. Wilson
{"title":"Book Review: You Can't Catch Diabetes from a Friend","authors":"C. Sinicki, C. Wilson","doi":"10.1177/263501067900500207","DOIUrl":"https://doi.org/10.1177/263501067900500207","url":null,"abstract":"","PeriodicalId":29851,"journal":{"name":"Science of Diabetes Self-Management and Care","volume":"5 1","pages":"26 - 26"},"PeriodicalIF":1.9,"publicationDate":"1979-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66051657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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