High dose inhaled corticosteroids and dose dependent loss of diabetic control
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چکیده
منابع مشابه
High dose inhaled corticosteroids and dose dependent loss of diabetic control.
We report a case of loss of diabetic control in a patient given high doses of inhaled fluticasone propionate for asthma. A 67 year old man who had had asthma for 10 years was referred for respiratory assessment. He had had noninsulin dependent diabetes mellitus for 40 years and was taking glibenclamide 5 mg and metformin 1700 mg daily. Glycaemic control was monitored every six weeks in an outpa...
متن کاملAbsorption of high-dose inhaled corticosteroids.
The appropriate and safe use of inhaled corticosteroids (ICS) is an important issue in managing asthma, and we read with interest the article by Wales et al (June 1999).1 This is now the seventh report showing increased adrenal suppression with very high doses of fluticasone propionate (FP) compared to budesonide (BUD) in volunteers.2–7 However, normal subjects do not generally receive these do...
متن کاملAdrenal function and high dose inhaled corticosteroids for asthma.
OBJECTIVE To investigate effects on adrenal function of fluticasone, a recently released inhaled steroid preparation with lower systemic bioavailability than beclomethasone dipropionate. METHODS 34 children on high doses (400-909 micrograms/m2/d) of inhaled beclomethasone dipropionate or budesonide were recruited into a double blind, crossover study investigating the effects on adrenal functi...
متن کاملPurpura and dermal thinning associated with high dose inhaled corticosteroids.
OBJECTIVE To assess the effect of high dose inhaled corticosteroids on skin. DESIGN Cross sectional study of patients receiving treatment for chest diseases. SETTING Outpatient chest clinic in a teaching hospital. PATIENTS 68 Patients divided into four groups of similar age--namely, 15 receiving long term oral prednisolone, 21 receiving high dose inhaled corticosteroids, 15 receiving low ...
متن کاملModerate dose inhaled corticosteroids plus salmeterol versus higher doses of inhaled corticosteroids in symptomatic asthma.
BACKGROUND There is uncertainty as to the dose of inhaled corticosteroids (ICS) at which to start concomitant long acting beta agonist (LABA) treatment in patients with asthma not adequately controlled by ICS alone. METHODS A meta-analysis was carried out of randomised, double blind clinical trials that compared the efficacy of adding salmeterol to moderate doses of ICS (fluticasone propionat...
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ژورنال
عنوان ژورنال: BMJ
سال: 1998
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.317.7171.1491