Reach further, in an Open Access Journal Endocrinology, Diabetes & Metabolism Case Reports

ISSN 1470-3947 (print)
ISSN 1479-6848 (online)

Searchable abstracts of presentations at key conferences in endocrinology

Published by BioScientifica
Endocrine Abstracts (2012) 29 P742 

Challenges and problems in the management of glycemia in patients with co-existing diabetes mellitus and a malignant disease in the Gerontology Institute - Hospice “Sue Ryder”-Skopje in the period of 2009–2011

A. Mitevska & J. Jakimovska

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Objectives: Pointing out all the problems and challenges that the medical staff encounters in the management of the patients with a terminal malignant disease with co-existing diabetes mellitus.

Methods: Medical documentation, laboratory results, US (Ultra Sound) etc.

Results: The study included patients hospitalized in the Gerontology Institute - Hospice “Sue Ryder”-Skopje, with a capacity of 75 beds, in the period of 2009–2011. During that period the institute hospitalized 212 patients, 35 of which had co-existing diabetes mellitus and a malignancy. All of the 35 patients were on an insulin therapy (Novomix, Mixtard 30, Insulatard, Levemir etc.) and a diabetic food regime. Most of the patients were with disseminated metastatic deposits in the lungs, liver, brain and bones.

Conclusions: Despite the insulin therapy and the diet regime it was not possible to regulate the glycemia in these patients with a severe illness. The glycemia reached a score of 29,0 mmol/L in some patients. There were no sings of hyperglycemia, which is unlike to happen in patients with Diabetes mellitus without co-existing malignancy.

Declaration of interest: The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research project.

Funding: This research did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.

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