Insulinas basales… ¡A jugar!

Authors

  • Salvador Ignacio Pérez-Galera Servicio de Medicina Interna, Hospital Universitario Virgen Macarena, Sevilla, Spain https://orcid.org/0000-0002-3653-2717
  • José Antonio Girón-Ortega Servicio de Medicina Interna, Hospital Universitario Virgen Macarena, Sevilla, Spain
  • Rocío Ruíz-Hueso Servicio de Medicina Interna, Hospital Universitario Virgen Macarena, Sevilla, Spain
  • David León-Jimenez Servicio de Medicina Interna, Hospital Universitario Virgen Macarena, Sevilla, Spain

DOI:

https://doi.org/10.32818/reccmi.a4s1a4

Keywords:

variability, hypoglycemia, C-peptide, basal insulin, continuous monitoring

Abstract

In this clinical case, we show the importance of the continuous glucose monitoring to detect high variability and risk of hypoglycemia in apparently well-treated patients. We also show how the new basal insulins allow to avoid hypoglycemia and decrease the variability.

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References

Crenier L, Abou-Elias C, Corvilain B. Glucose Variability Assessed by Low Blood Glucose Index Is Predictive of Hypoglycemic Events in Patients With Type 1 Diabetes Switched to Pump Therapy. Diabetes Care. 2013;36(8):2148-2153. doi: https://doi.org/10.2337/dc12-2058.

Ruiz de Adana MS, Domínguez-López M, Tapia MJ, de la Higuera M, González S, Soriguer F. How to evaluate glycemic variability? Av Diabetol. 2008; 24(1): 77-81

Vogelzang M, van der Horst IC, Nijsten MW. Hyperglycaemic index as a tool to assess glucose control: a retrospective study. Critical Care. 2004;8(3):R122-R127. doi: https://doi.org/10.1186/cc2840.

Service FJ. Glucose variability. Diabetes. 2013 May;62(5):1398-404. doi: https://doi.org/10.2337/db12-1396.

Vora J, Christensen T, Rana A, Bain SC. Insulin degludec versus insulin glargine in type 1 and type 2 diabetes mellitus: a meta-analysis of endpoints in phase 3a trials. Diabetes Ther. 2014 Dec;5(2):435-46. doi: https://doi.org/10.1007/s13300-014-0076-9. Epub 2014 Aug 1.

Published

2019-01-31

How to Cite

1.
Pérez-Galera SI, Girón-Ortega JA, Ruíz-Hueso R, León-Jimenez D. Insulinas basales… ¡A jugar!. Rev Esp Casos Clin Med Intern [Internet]. 2019 Jan. 31 [cited 2024 Jul. 3];4:7-10. Available from: https://www.reccmi.com/RECCMI/article/view/356