Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
ORIGINAL ARTICLES
Long-Term Intensive Insulin Therapy for Japanese Patients with Type 2 Diabetes Mellitus
Tomoya UmezonoMasao ToyodaMakiko AbeKeiko KobayashiMayuko KatoMasaaki MiyauchiTakako KobayashiNaoyuki YamamotoMoritsugu KimuraMitsunori YagameDaisuke Suzuki
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JOURNAL OPEN ACCESS

2008 Volume 47 Issue 24 Pages 2109-2115

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Abstract

Objective To determine the clinical usefulness of long-term intensive insulin therapy in Japanese patients with type 2 diabetes.
Patients and Methods Various clinical indicators and potential of withdrawal from insulin therapy were investigated in 20 type 2 diabetic patients receiving treatment in the outpatient clinic over a period of 8 years after starting intensive insulin therapy between April 1997 and March 1999.
Results The mean glycated hemoglobin (HbA1c) was approximately 6.5%, and there was no significant increase in insulin dose over a period of 8 years after commencement of intensive insulin therapy. Withdrawal from insulin therapy could be sustained in previously untreated patients.
Conclusion Our results indicated the clinical usefulness of intensive insulin therapy over the long term in Japanese patients with type 2 diabetes and that such therapy could be especially useful for previously untreated patients.

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© 2008 by The Japanese Society of Internal Medicine
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