Search
brittle diabetes mellitus
diabetes mellitus type 1 vulnerable to frequent episodes of hyperglycemia & hypoglycemia
Pathology:
- supersensitivity to insulin ?
Clinical manifestations:
- attempts to treat hyperglycemia carry a high risk of hypoglycemia
Complications:
- hypoglycemia is worse than hyperglycemia
Management:
- personalized experience managing the patient is helpful in determining baseline insulin requirement & judiciously treating episodes of hyperglycemia
- be prepared for hypoglycemia when treating hyperglycemia
- tolerate lowest level of serum glucose that mimimizes risk of hypoglycemia
General
diabetes mellitus type 1 (insulin-dependent, juvenile)