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INTERCURRENT DISEASES IN TYPE 1 DIABETES IN CHILDREN AND ADOLESCENTS: PREVENTION OF ACUTE COMPLICATIONS. LECTURE
- Authors: Kiseleva E.V.1, Okminyan G.F.1, Latyshev O.Y.1, Samsonova L.N.1, Kasatkina E.P.1
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Affiliations:
- Russian Medical Academy of Continuous Professional Education
- Issue: No 4 (2019)
- Pages: 39-44
- Section: Articles
- URL: https://pediatria.orscience.ru/2658-6630/article/view/57092
- DOI: https://doi.org/10.26442/26586630.2019.4.190729
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Abstract
The main goal of the treatment of type 1 diabetes mellitus lies in the prevention of the development of acute and chronic complications of the disease. The acute complications of diabetes and its therapy include diabetic ketoacidosis and hypoglycemia. Diabetic ketoacidosis is the leading cause of death in childhood diabetes cases. At the heart of diabetic ketoacidosis development is an absolute or relative insulin deficiency. In turn, increased insulin demand and insulin deficiency occur mainly with the development of a patient with diabetes with intercurrent diseases and the implementation of surgical aids. Hypoglycemia is a major complication of the diabetes treatment that has the tendency of limiting the achievement of blood glucose targets. A number of intercurrent diseases affecting the absorption of carbohydrates in the gastrointestinal tract increase the risk of hypoglycemia. Algorithm for the action of patients, as well as the medical practitioners of various specialties, is, first and foremost aimed at prevention of the development of diabetic ketoacidosis and hypoglycemia in intercurrent diseases, presented in the following publication.
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About the authors
Elena V. Kiseleva
Russian Medical Academy of Continuous Professional Education
Email: tabane@mail.ru
Moscow, Russia
Goar F. Okminyan
Russian Medical Academy of Continuous Professional EducationMoscow, Russia
Oleg Yu. Latyshev
Russian Medical Academy of Continuous Professional EducationMoscow, Russia
Lubov N. Samsonova
Russian Medical Academy of Continuous Professional EducationMoscow, Russia
Elvira P. Kasatkina
Russian Medical Academy of Continuous Professional EducationMoscow, Russia
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