INTERCURRENT DISEASES IN TYPE 1 DIABETES IN CHILDREN AND ADOLESCENTS: PREVENTION OF ACUTE COMPLICATIONS. LECTURE


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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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Elena Kiseleva

Russian Medical Academy of Continuous Professional Education

Email: tabane@mail.ru
Moscow, Russia

Goar Okminyan

Russian Medical Academy of Continuous Professional Education

Moscow, Russia

Oleg Latyshev

Russian Medical Academy of Continuous Professional Education

Moscow, Russia

Lubov Samsonova

Russian Medical Academy of Continuous Professional Education

Moscow, Russia

Elvira Kasatkina

Russian Medical Academy of Continuous Professional Education

Moscow, Russia

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