Refractory diabetes : a 5D approach
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 3
Abstract
This communication shares a simple and pragmatic approach to evaluate and to defect refractory diabetes which does not “respond” to insulin. The 5D rubric offers a mnemonic based best treatment practices in the easiest way to remember and follow. This communication improves upon earlier publications, and describes the 5 D approach to managing diabetes that cannot be controlled by ‘high’ doses of insulin and adequate pharmacotherapy. This approach will help health care professionals in choosing best treatment regimen and converting most ‘refractory’ patients to responsive ones.
Authors and Affiliations
Sanjay Kalra, Vipul Gupta
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