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Wien Klin Wochenschr. 1988 Jun 24;100(13):449-54.

[Acute and long-term psychological problems following hypoglycemias].

[Article in German]

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Psychiatrische Universitätsklinik, Wien.


1. Detection of hypoglycaemic episodes is of psychiatric importance with respect to acute therapy, long-term treatment, which includes consideration of changes in specific behaviour patterns, and also forensic questions. 2. All possible therapeutic efforts must be focussed on the avoidance of repeated hypoglycaemic episodes to ensure the prevention of organic psychosyndromes (dementia). 3. The therapeutic proceedings should consider methods of behavioural medicine and behavioural modification too. Such techniques may amplify the traditional medical aspects, especially stressing the significance of compliance, illness-related information, family variables, diet, and bodily exercise (according to Epstein). Methods of behavioural medicine have shown that specific techniques should be applied with care and take individual variability and conditions into account according to single subject methodology. Uncritical application of such techniques is useless.

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