کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8674152 | 1578856 | 2016 | 25 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
New Insulin Delivery Recommendations
ترجمه فارسی عنوان
توصیه های تحویل انسولین جدید
دانلود مقاله + سفارش ترجمه
دانلود مقاله ISI انگلیسی
رایگان برای ایرانیان
کلمات کلیدی
CSIIInjection Technique QuestionnaireFITTERITQlipohypertrophyNPHGLP-1NSIHCPNeedlestick injury - آسیب نایلونTitan - تایتان، تیتانcontinuous subcutaneous insulin infusion - تزریق انسولین زیر جلدی مستمرHealth care professional - حرفه مراقبت بهداشتیsubcutaneous - زیر جلدیbody mass index - شاخص توده بدنBMI - شاخص توده بدنیIntramuscular - عضلانیFIT - مناسبglucagon-like peptide-1 - پپتید 1-گلوکاگون-مانند
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی
Many primary care professionals manage injection or infusion therapies in patients with diabetes. Few published guidelines have been available to help such professionals and their patients manage these therapies. Herein, we present new, practical, and comprehensive recommendations for diabetes injections and infusions. These recommendations were informed by a large international survey of current practice and were written and vetted by 183 diabetes experts from 54 countries at the Forum for Injection Technique and Therapy: Expert Recommendations (FITTER) workshop held in Rome, Italy, in 2015. Recommendations are organized around the themes of anatomy, physiology, pathology, psychology, and technology. Key among the recommendations are that the shortest needles (currently the 4-mm pen and 6-mm syringe needles) are safe, effective, and less painful and should be the first-line choice in all patient categories; intramuscular injections should be avoided, especially with long-acting insulins, because severe hypoglycemia may result; lipohypertrophy is a frequent complication of therapy that distorts insulin absorption, and, therefore, injections and infusions should not be given into these lesions and correct site rotation will help prevent them; effective long-term therapy with insulin is critically dependent on addressing psychological hurdles upstream, even before insulin has been started; inappropriate disposal of used sharps poses a risk of infection with blood-borne pathogens; and mitigation is possible with proper training, effective disposal strategies, and the use of safety devices. Adherence to these new recommendations should lead to more effective therapies, improved outcomes, and lower costs for patients with diabetes.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Mayo Clinic Proceedings - Volume 91, Issue 9, September 2016, Pages 1231-1255
Journal: Mayo Clinic Proceedings - Volume 91, Issue 9, September 2016, Pages 1231-1255
نویسندگان
Anders H. MD, Gillian DSN, Giorgio MD, Serge MD, Debbie DSN, Laurence J. MD, Mike J. DSN, Regine MD, Bruce W. MD, Irl B. MD, Sanjay MD, Linong MD, Kenneth W. MD,