Diabetestherapie in besonderen Lebenssituationen

The hyperglycemic imbalance under the influence of cortisone therapy or during parenteral feeding is becoming increasingly more often a challenge in the daily practical hospital routine. Unfortunately there are no guidelines or relevant evidence-based data on optimal diabetes control. The quality of metabolic adjustment has to be even more individually well-defined than normal and must be arranged with the patient, relatives and all caregivers in the therapeutic team. In the often palliative situation the most important aspect is to avoid a hypoglycemic and a very high hyperglycemic status and not the avoidance of diabetic consequences, such as microangiopathy, macroangiopathy and neuropathic diseases. In the following it will be examined how a possible, mostly insulin-based therapy, can be initiated.