Authors: A. Šmahelová Authors‘ workplace: Klinika gerontologická a metabolická Lékařské fakulty UK a FN, Hradec Králové, přednosta prof. MUDr. Luboš Sobotka, CSc. Published in: Vnitř Lék 2006; 52(5): 443-445 Category: Diabetes and other subjects (infection, dermatovenerology and rheumatology) Hradec Králové 3 to 4 June 2005
The important role of diabetologists in management of infections in diabetics is the quality diabetes control and compensation. There are two main arrangements in the management, the correction of the former antidiabetic therapy and the quality nutrition. The insulin resistance is higher by any infection and the insulin requirement is higher in such conditions. It is necessary to stop the metformin therapy, provide basal insulinemia and level up the insulin dose at least by one third. In the heavy infections the continuous intravenous insulin infusion is recommend. The specialities of the infection in diabetics, the prevention of infection and acute diabetes complications are discussed.
Keywords: diabetes mellitus – infections – insulin resistance – insulin dose – optimal nutrition
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