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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© 1997 Springer-Verlag Berlin Heidelberg
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Hürter, P. (1997). Besonderheiten und Nebenwirkungen der Insulintherapie. In: Diabetes bei Kindern und Jugendlichen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-11466-7_13
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DOI: https://doi.org/10.1007/978-3-662-11466-7_13
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