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


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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 Education

Moscow, Russia

Oleg Yu. Latyshev

Russian Medical Academy of Continuous Professional Education

Moscow, Russia

Lubov N. Samsonova

Russian Medical Academy of Continuous Professional Education

Moscow, Russia

Elvira P. Kasatkina

Russian Medical Academy of Continuous Professional Education

Moscow, Russia

References

  1. Mayer-Davis EJ, Kahkoska AR, Jefferies C et al. ISPAD Clinical Practice Consensus Guidelines 2018: Definition, epidemiology, and classification of diabetes in children and adolescents. Pediatric Diabetes 2018; 19 (Suppl. 27): 7-19.
  2. Безлепкина О.Б., Башнина Е.Б., Галкина Г.А. и др. Распространенность и заболеваемость сахарным диабетом 1-го типа в Российской Федерации в 2018 году. Проблемы эндокринологии. 2019; 65 (1): 30-1. @@Bezlepkina O.B., Bashnina E.B., Galkina GA. et al. Rasprostranennost' i zabolevae-most' sakharnym diabetom 1-go tipa v Rossiiskoi Federatsii v 2018 godu. Problemy endokrinologii. 2019; 65 (1): 30-1 (in Russian).
  3. Hannonen R, Tupola S, Ahonen T, Riikonen R. Neurocognitive functioning in children with type 1 diabetes with and without episodes of severe hypoglycatmia. Dev Med Child Neurol 2003; 45: 262-8.
  4. Muller LM, Gorter KJ, Hak E et al. Increased risk of infection in patient with diabetes mellitus type 1 or 2. Nederlands Tijdschrift Geneeskunde 2006: 150: 549-3.
  5. Liberatore RR, Barbosa SF, Alkimin MG et al. Is immunity in diabetic patients influencing the susceptibility to infections? Immunoglobulins, complement and phagocytic function in children and adolescents with type 1 diabetes mellitus. Pediatr Diabetes 2005; 6: 206-12.
  6. Pettitt DJ, Talton J, Dabelea D et al. for the SEARCH for Diabetes in Youth Study Group: Prevalence of Diabetes Mellitus in U.S Youth in 2009: The SEARCH for Diabetes in Youth Study [published online ahead of print September 16, 2013]. Diabetes Care 2013. DOI: 102337/dc13-1838
  7. Walker M, Marshall SM, Alberti KG, Clinical aspects of diabetic ketoacidosis, Diabe-tes/Metabolism Rev 1989: 5: 651-3.
  8. Wolfsdorf J. Craig ME, Daneman D et al. Diabetic ketoacidosis in children and adolescents with diabetes. Pediatric Diabetes 2009; 10 (Suppl. 12): 118-33.
  9. Chiang JL, Kirkman MS, Laffel LM, Peters AL. Type 1 Diabetes Source-book Authors. Type 1 diabetes through the life span: a position statement of the American Diabetes Association. Diabetes Care 2014; 37 (7): 2034-54.
  10. Mensing C, Boucher J, Cypress M et al. National Standards for Diabetes Self-Management Education. Diabetes Care 2005; 28 (Suppl. 1): S72-9.
  11. Laffer LM, Limdert C, Phelan H et al. ISPAD Clinical Practice Consensus Guidelines 2018: Sick day management in children and adolescents. Pediatric Diabetes 2018; 19 (Suppl. 27): 193-204.

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