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AuthorWepler, Martindc.contributor.author
Date of accession2016-03-14T15:22:26Zdc.date.accessioned
Available in OPARU since2016-03-14T15:22:26Zdc.date.available
Year of creation2007dc.date.created
AbstractAims: Discomfort during insulin injection and self-monitoring of blood glucose (SMBG) is a potential obstacle for successful insulin treatment, but its prevalence and extent in relation to clinical and other variables is not entirely clear. Methods: In a prospective, population-based study we assessed treatment-associated discomfort and pain in an unselected cohort of patients (60 boys and 52 girls; mean age 14.6^± 3.0 years, mean HbA1c 8.0 ± 1.4 percent) with type 1 diabetes and multiple daily self-injections of insulin. Pain perception during injection and SMBG was measured by adapted visual analogue and verbal rating scales, with pain scores ranging from 0 to 10. A six-item questionnaire was used to evaluate patient discomfort, preferences and satisfaction. Results: Pain during insulin injection was absent to very low in 103 of 112 (91.9 percent) patients, and its intensity was independent of age, gender, diabetes duration, current HbA1c, injection volume, or type of insulin used. Insulin injection was more unpleasant than SMBG in 64.2 percent of patients (mean difference of pain score, 1.0 ± 1.7, p < 0.0001). Injection into the upper arm (score, 2.9 ± 2.1) was less painful than into the thigh (score, 4.1 ± 2.4, p = 0.0139) and abdomen (score, 3.8 ± 2.2, p = 0.0400). Surprisingly, painlessness of injection and SMBG was not judged an important treatment goal by 22.0 percent and 32.9 percent of patients, respectively. Logistic difficulties (41.2 percent of responses) and time requirements (23.8 percent of responses), but not pain (10.1 percent of responses) were considered the most disturbing aspects of insulin injections. Conclusion: In young patients with access to optimized diabetes education and technology, pain during insulin injection and SMBG is infrequent or mild, and not widely perceived as problematic.dc.description.abstract
Languagededc.language.iso
PublisherUniversität Ulmdc.publisher
LicenseStandard (Fassung vom 03.05.2003)dc.rights
Link to license texthttps://oparu.uni-ulm.de/xmlui/license_v1dc.rights.uri
KeywordDiabetes mellitus / Typ Idc.subject
KeywordInsulin Glargindc.subject
KeywordInsulininjektiondc.subject
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
MeSHDiabetes mellitus. In infancy and childhooddc.subject.mesh
TitleInsulininjektion und Schmerz bei Kindern mit Diabetes mellitus - eine prospektive, kontrollierte, nicht-interventionelle Beobachtungsstudiedc.title
Resource typeDissertationdc.type
DOIhttp://dx.doi.org/10.18725/OPARU-1457dc.identifier.doi
URNhttp://nbn-resolving.de/urn:nbn:de:bsz:289-vts-64805dc.identifier.urn
GNDKind / Diabetes mellitusdc.subject.gnd
GNDSchmerzdc.subject.gnd
FacultyMedizinische Fakultätuulm.affiliationGeneral
Date of activation2008-07-21T10:56:32Zuulm.freischaltungVTS
Peer reviewneinuulm.peerReview
Shelfmark print versionZ: J-H 11.962; W: W-H 11.446uulm.shelfmark
DCMI TypeTextuulm.typeDCMI
VTS-ID6480uulm.vtsID
CategoryPublikationenuulm.category
University Bibliographyjauulm.unibibliographie


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