Alterations in Insulin Absorption and in Blood Glucose Control associated with Varying Insulin Injection Sites in Diabetic Patients

V. Kovisto,P. Felig

Published 1981 in The diabetes educator

ABSTRACT

This review from the Royal Infirmary in Edinburgh , Scotland concerns the safety of the various birth control methods in insulin dependent diabetic women . Combined estrogen/ progestogen pills were associated with an increased risk of thromboembolic disease . Thromboembolic complications included cerebral ischemia, myocardial infarction, and vein thrombosis. In contrast, the progestogen-only pill was found to be successful and associated with only menstrual irregular ities. Intrauterine devices were assoc iated with a high failure rate (11 of 30 became pregnant during the first year) . They concluded that the combined estrogen/progestogen pill and intrauterine devices were potentially dangerous and/or unacceptable forms of contraception and the progestogenonly pill was the preferred method of contraception in insulin-dependent diabetic women . Stephen Hamburger, MD

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