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Besonderheiten und Nebenwirkungen der Insulintherapie

  • Peter Hürter

Zusammenfassung

Die Insulinsubstitution wird durch einen individuell sehr unterschiedlich ausgeprägten Zirkadianrhythmus der Insulinwirkung und damit des Insulinbedarfs beeinflußt. Die häufige Morgenhyperglykämie (Dawn-Phänomen) und die Nachmittagshyperglykämie (Dusk-Phänomen) erschweren die Stoffwechseleinstellung. Die posthypoglykämische Hyperglykämie (Somogyi-Phänomen) wird in ihrer Häufigkeit und Bedeutung meist überschätzt. Die Nebenwirkungen Insulinallergie, Insulinresistenz und Lipodystrophie sind durch die Verwendung hochgereinigter Insulinpräparationen sehr selten geworden.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • Peter Hürter
    • 1
  1. 1.HannoverDeutschland

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