[Multiple insulin injections with the help of a subcutaneous catheter or metered syringe (Pen)]. / Wielokrotne wstrzykiwanie insuliny za pomoca podskórnego cewnika oraz dozownika insuliny (Pea).

Multiple, daily injections of insulin in intensified insulin therapy of diabetes mellitus has many important advantages. From the technical point of view however it requires new instruments, which could further limit the trauma of injection and facilitate the necessary manipulations. For these reasons a combination of typical insulin syringe (Novo-Noraisk Pen) and a special subcutaneous insulin catheter (Vigo-Spectramed Insuflon) was examined in a systematic way. Insuflon was inserted for 7 days. Insulin injection was made with a syringe through the head of the Insuflon. The needle of a syringe easily penetrated the membrane inside the Insuflon 4 times daily for 7 days without any damage. The acceptance of this method was high. It increased the compliance in general. The parameters of diabetes mellitus control changed positively. No side-effects of such procedure were noted.

[Statistical-clinical analysis of arterial blood pressure in the outpatient clinic population of patients with diabetes mellitus]. / Statystyczno-kliniczna analiza nadcisnienia tetniczego w poradnianej populacji chorych na cukrzyce.

The level of morbidity due to arterial blood hypertension was determined in a cohort of 2,492 diabetic patients, including 1,996 NIDDM and 496 IDDM cases treated at Warsaw Voiévodship Diabetic Out-Patient Clinic. In the same time, its correlation with several, selected clinical parameters was analysed statistically. It was found that: 1. Arterial hypertension morbidity rate in the whole cohort was 48.0% being significantly higher than that in the general population of Warsaw aged between 35 and 64 years and amounting to 37.4% for male and 30.9% for female patients. 2. Morbidity index from the present study was significantly higher in NIDDM cases (53.3%) than that for IDDM cases (26.6%). 3. In case of NIDDM the highest morbidity was seen in female patients (57.9%) whereas in male patients it has reached 48.1%. It was closely related to age and in lower degree to the existence of microangiopathic syndromes. 4. In IDDM morbidity for arterial hypertension was strongly affected by microangiopathic symptoms, duration of diabetes mellitus and age. 5. Borderline, systolic-diastolic hypertension was encountered in the majority of cases.