|
|
Showing 1 - 9 of
9 matches in All Departments
The close association between blood glucose control and the
well-being of the patient, as well as the risk for the development
of the "late" complications of 3 diabetes, make it necessary to
attain near normalisation of blood glucosel- ). Signifi cant
progress has been made in this direction in the last few years
because of the advancement of analytical techniques for the
monitoring of both metabolic status and the functional state of the
pancreas and the kidneys, organs involved in the disease process.
The respective methodologies are the test strips for
self-monitoring of glucose in blood and urine, the measurement of
the nonenzymatic glycosylation of hemoglobin and serum proteins,
the C-peptide assay, and the determination of small amounts of
albumin in urine. The test strip methodology for determination of
glucose in blood and urine has made possible home blood glucose
monitoring which enables the patient to aim for treatment targets
near the physiological range. To this information on short term
glycemia obtained by the patient, the determination of hemoglobin
glycosylation in the clinical chemistry laboratory adds
quantitative information about averaged long term glycemic control.
The C-peptide assay allows evaluation of the residual pancreatic
function in the presence of exogenous insulin. Results of a
C-peptide assay are helpful in selecting the appropriate treatment
for poorly controlled maturity-onset diabetes. The detection of
microalbuminuria, an abnormal albumin excretion below the level of
"Albustix" detection, establishes nephropathy before renal damage
becomes irreversible."
|
|