0
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found

      Non-Evidence-Based Concepts Are Still Established in the Treatment of IDDM

      , ,

      Hormone Research in Paediatrics

      S. Karger AG

      IDDM, Insulin treatment, Exercise, Diet

      Read this article at

      ScienceOpenPublisherPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Medicine is and always has been full of unproven concepts. However, when they are frequently used in clinical practice, they seem established and are therefore seldom questioned. In his book ‘Follies and fallacies in medicine’ (Glasgow, The Tarragon Press, 1989) Peter Skrabanek clearly proposed a way to improve the quality of medicine by being chronically sceptical towards all ‘established’ concepts. By cyting Bertold Brecht he proposed ‘scepticemia’ as a major tool to speed up the progress in medicine: ‘The chief cause of poverty in science is imaginary wealth. The chief aim of science is not to open a door to infinite wisdom but to set a limit to infinite error.’ In this article we will try to analyze the evidence of the three so-called cornerstones of diabetes therapy – diet, exercise and insulin – with regard to their efficacy in reaching the goals of treatment in type 1 (insulin-dependent) diabetes.

          Related collections

          Most cited references 2

          • Record: found
          • Abstract: found
          • Article: not found

          Acute complications associated with insulin infusion pump therapy. Report of experience with 161 patients.

          We determined the frequency of acute complications associated with insulin pump therapy in 161 insulin-dependent patients followed up for a total of 2,978 patient-months. Diabetes control improved substantively with pump therapy, but 42% of the patients experienced one or more acute complications while using insulin pumps. Infected infusion sites, ketoacidosis, and hypoglycemic coma occurred once in every 27, 78, and 175 patient-months, respectively. More patients experienced ketoacidosis after the onset of pump therapy than in an equivalent interval immediately before the onset of pump therapy. Ketoacidosis also occurred in more patients using pump therapy than in a comparison group of 165 patients receiving conventional insulin injections surveyed during an equivalent period. The frequency of hypoglycemic coma was not significantly changed by pump therapy.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Ice cream in the diet of insulin-dependent diabetic patients

             D. G. Nathan (1984)
              Bookmark

              Author and article information

              Journal
              HRE
              Horm Res Paediatr
              10.1159/issn.1663-2818
              Hormone Research in Paediatrics
              S. Karger AG
              978-3-8055-6720-6
              978-3-318-00326-0
              1663-2818
              1663-2826
              1998
              July 1998
              17 November 2004
              : 50
              : Suppl 1
              : 74-78
              Affiliations
              Department of Metabolic Diseases and Nutrition, WHO Collaborating Centre for Diabetes, Heinrich-Heine-University Düsseldorf, Germany
              Article
              53109 Horm Res 1998;50(suppl 1):74–78
              10.1159/000053109
              9677004
              © 1998 S. Karger AG, Basel

              Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

              Page count
              Pages: 5
              Categories
              Approaches to Better Care

              Comments

              Comment on this article