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Diabetic cancer patients in palliative hospice care


Authors: M. Kala 1,2;  K. Loyková 3
Authors‘ workplace: Ústav zdravotnických věd, Fakulta humanitních studií, Univerzita Tomáše Bati ve Zlíně Ředitelka: Mgr. Zlatica Dorková, Ph. D. 1;  Hospic na Svatém Kopečku, Olomouc Vedoucí lékař: doc. MUDr. Miroslav Kala, CSc. 2;  III. interní klinika, Fakultní nemocnice Olomouc Přednosta: prof. MUDr. Josef Zadražil, CSc. 3
Published in: Prakt. Lék. 2016; 96(5): 235-237
Category: Of different specialties

Overview

As a result of growth in the number of diabetics, there are increasingly frequent cases of patients in terminal stages of severe illnesses who are being treated with oral antidiabetic agents or insulin. An overview of current opinions on managing the treatment of diabetics in palliative care is given. As a result of a deteriorated nutritional situation and cachexia, it is essential to reduce or discontinue oral antidiabetic agents, or reduce or completely discontinue insulin doses, and not insist on optimal diabetes control. The objective of treating diabetes in advanced stages of incurable diseases is no longer to prevent later diabetes complications, but rather to prevent the development of hypoglycaemia and overt hyperglycaemia.

Keywords:
diabetes – palliative care – hospice – terminal stages – end of life


Sources

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