Glucose, blood level monitoring diabetic patients

The hydantoins may affect the blood glucose levels. In some patients these drugs have an inhibitory effect on the release of insulin in the body, causing hyperglycemia The nurse closely monitors blood glucose levels, particularly in patients with diabetes. The nurse reports any abnormalities to the primary health care provider. 

Short-term adverse effects from corticosteroids include fluid retention, hyperglycemia, central nervous system stimulation, weight gain, and increased risk of infection. Patients with diabetes should have blood glucose levels monitored carefully during the corticosteroid course. 

Somatomedins are insulin-like polypeptide hormones that should be used with caution in diabetic patients since adjustment of antidiabetic therapy may be required. Before initiating therapy, a baseline ECG is recommended and, if abnormalities are identified, regular ECG monitoring during treatment is required. Somatomedins may cause tachycardia, cardiomegaly, ventricular hypertrophy and changes in blood glucose levels as side-effects. 

Troglitazone is useful in insulin resistance. This drug was withdrawn because of hepatotoxicity, but many derivatives have been prepared and are at various stages of clinical trials. Perhaps this will be a future drug for the treatment of diabetes. Patients who take antidiabetic drugs should be frequently monitored for blood glucose levels. Shorter intervals of food intake in small quantities are beneficial for known diabetic patients to avoid sudden hypoglycemia. 

All CHC users should have at least annual blood pressme monitoring. Glucose levels should be monitored closely when CHCs are started or stopped in patients with a history of glucose intolerance or diabetes meUitus. Contraceptive users should have at least annual cytologic screening (more often if they are at risk for STDs), and they should also be regularly... 

Cordray JP, Merceron RE, Guillerd X, Nys P. Baisse du fer serique due a 1 auto-surveillance glycemique chez le dia-betique. [Low serum iron level caused by self-monitoring of blood glucose in the diabetic patient.] Presse Med 1991 20(7) 310. 

Microneedles can also be used to extract samples, thus finding significant applications in the field of health monitoring and biochemical analysis. For example, with diabetic patients, frequent use of needles is necessary for blood sampling to test glucose levels and to administer multiple doses of insulin. The use of microneedles can make it a virtually pain-free and a much more palatable experience to patients. 

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