The Initial Assessment of Daily Insulin Dose in Chinese Newly Diagnosed Type 2 Diabetes

Background. It has been well accepted that insulin therapy is the ideal treatment for newly diagnosed diabetic patients. However, there was no study about assessment of the initial insulin dosage in new onset Chinese patients with type 2 diabetes. Research Design and Methods. 65 newly diagnosed pa...

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Main Authors: Jing Ma, Huan Zhou, Hua Xu, Xie Chen, Xiangyu Teng, Qianjing Liu, Wei Liu
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2016/7245947
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author Jing Ma
Huan Zhou
Hua Xu
Xie Chen
Xiangyu Teng
Qianjing Liu
Wei Liu
author_facet Jing Ma
Huan Zhou
Hua Xu
Xie Chen
Xiangyu Teng
Qianjing Liu
Wei Liu
author_sort Jing Ma
collection DOAJ
description Background. It has been well accepted that insulin therapy is the ideal treatment for newly diagnosed diabetic patients. However, there was no study about assessment of the initial insulin dosage in new onset Chinese patients with type 2 diabetes. Research Design and Methods. 65 newly diagnosed patients with type 2 diabetes (39 males/26 females; HbA1c ≥ 11.80 ± 0.22%) were investigated. All patients had random hyperglycaemia (at 21.8 ± 3.9 mmol/L) on the first day of admission and received insulin infusion intravenously (5 U/per hour). When the blood glucose level dropped to around 10 mmol/L, patients were then transferred to continuous subcutaneous insulin infusion (CSII). The reduction of blood glucose levels in response to per unit of insulin (RBG/RI) was recorded. The target glucose level was achieved in about 3 days. The total daily insulin dose (TDD) and basal insulin dose (TBD) were calculated. Results. TDD was 45.97 ± 1.28 units and TBD was 19.00 ± 0.54 units. TBD was about 40% of the total daily insulin requirement. There was a negative correlation between the ratio of RBG/RI and TDD. Conclusions. TDD was correlated with blood glucose reduction in response to intravenous insulin infusion in Chinese new onset patients with type 2 diabetes.
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spelling doaj-art-fe0769ab8554483987907ca36827983c2025-02-03T01:02:05ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/72459477245947The Initial Assessment of Daily Insulin Dose in Chinese Newly Diagnosed Type 2 DiabetesJing Ma0Huan Zhou1Hua Xu2Xie Chen3Xiangyu Teng4Qianjing Liu5Wei Liu6Department of Endocrinology and Metabolism, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 1630 Dongfang Road, Shanghai 200127, ChinaDepartment of Endocrinology and Metabolism, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 1630 Dongfang Road, Shanghai 200127, ChinaDepartment of Endocrinology and Metabolism, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 1630 Dongfang Road, Shanghai 200127, ChinaDepartment of Endocrinology and Metabolism, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 1630 Dongfang Road, Shanghai 200127, ChinaDepartment of Endocrinology and Metabolism, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 1630 Dongfang Road, Shanghai 200127, ChinaDepartment of Endocrinology and Metabolism, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 1630 Dongfang Road, Shanghai 200127, ChinaDepartment of Endocrinology and Metabolism, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 1630 Dongfang Road, Shanghai 200127, ChinaBackground. It has been well accepted that insulin therapy is the ideal treatment for newly diagnosed diabetic patients. However, there was no study about assessment of the initial insulin dosage in new onset Chinese patients with type 2 diabetes. Research Design and Methods. 65 newly diagnosed patients with type 2 diabetes (39 males/26 females; HbA1c ≥ 11.80 ± 0.22%) were investigated. All patients had random hyperglycaemia (at 21.8 ± 3.9 mmol/L) on the first day of admission and received insulin infusion intravenously (5 U/per hour). When the blood glucose level dropped to around 10 mmol/L, patients were then transferred to continuous subcutaneous insulin infusion (CSII). The reduction of blood glucose levels in response to per unit of insulin (RBG/RI) was recorded. The target glucose level was achieved in about 3 days. The total daily insulin dose (TDD) and basal insulin dose (TBD) were calculated. Results. TDD was 45.97 ± 1.28 units and TBD was 19.00 ± 0.54 units. TBD was about 40% of the total daily insulin requirement. There was a negative correlation between the ratio of RBG/RI and TDD. Conclusions. TDD was correlated with blood glucose reduction in response to intravenous insulin infusion in Chinese new onset patients with type 2 diabetes.http://dx.doi.org/10.1155/2016/7245947
spellingShingle Jing Ma
Huan Zhou
Hua Xu
Xie Chen
Xiangyu Teng
Qianjing Liu
Wei Liu
The Initial Assessment of Daily Insulin Dose in Chinese Newly Diagnosed Type 2 Diabetes
Journal of Diabetes Research
title The Initial Assessment of Daily Insulin Dose in Chinese Newly Diagnosed Type 2 Diabetes
title_full The Initial Assessment of Daily Insulin Dose in Chinese Newly Diagnosed Type 2 Diabetes
title_fullStr The Initial Assessment of Daily Insulin Dose in Chinese Newly Diagnosed Type 2 Diabetes
title_full_unstemmed The Initial Assessment of Daily Insulin Dose in Chinese Newly Diagnosed Type 2 Diabetes
title_short The Initial Assessment of Daily Insulin Dose in Chinese Newly Diagnosed Type 2 Diabetes
title_sort initial assessment of daily insulin dose in chinese newly diagnosed type 2 diabetes
url http://dx.doi.org/10.1155/2016/7245947
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