Refractory diabetes : a 5D approach
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 3
Abstract
This communication shares a simple and pragmatic approach to evaluate and to defect refractory diabetes which does not “respond” to insulin. The 5D rubric offers a mnemonic based best treatment practices in the easiest way to remember and follow. This communication improves upon earlier publications, and describes the 5 D approach to managing diabetes that cannot be controlled by ‘high’ doses of insulin and adequate pharmacotherapy. This approach will help health care professionals in choosing best treatment regimen and converting most ‘refractory’ patients to responsive ones.
Authors and Affiliations
Sanjay Kalra, Vipul Gupta
Keywords
Related Articles
- EP ID EP611903
- DOI -
- Views 168
- Downloads 0
Iodine in pregnancy
Iodine requirements are increased more than 50% during pregnancy. Iodine deficiency during pregnancy can cause maternal and fetal hypothyroidism and impair neurological development of the fetus. The consequences of iodin...
Antimicrobial coated sutures in Indian Market : A literature review of efficacy and safety in patients to prevent surgical site infections
Surgical suture material is used to adequately adapt the wound edges. To prevent microbial colonization of the suture material in operative incisions, sutures with antibacterial activity have been developed. In India, tr...
An interesting case of mullerian agenesis presenting as adnexal mass
Mullerian duct abnormalities present at various ages and with varied symptomatology1. Partial developmental mullerian anomalies may also present as adnexal lesions creating confusion in the diagnosis like in MRKH syndrom...
Dermatological signs of chest diseases
A wide spectrum of pulmonary diseases displays cutaneous manifestations, which may be the presenting signs and symptoms of the underlying respiratory diseases. This review focuses on the clinical features of such disease...
Case report of postmenopausal women with thyrotoxic periodic paralysis being treated with radioactive iodine as a definitive therapy
Thyrotoxic periodic paralysis is a potentially life threatening complication of hyperthyroidism. It is characteristized by hypokalemia with proximal muscle paralysis in patients with thyrotoxicosis. It can be precipitate...