Difficult diabetes - essence of disease or healthy behaviour?
Journal Title: Przewodnik Lekarza - Year 2006, Vol 85, Issue 3
Abstract
Some of the patients with diabetes suffer chronically poor diabetic control. These patients cannot be controlled adequately, even by closed supervised, intensive insulin regimens. Obesity, puberty (due mainly to increased growth-hormone secretion) infections, endocrine hypersecretion, many used drugs may be responsible for metabolic instability. Reccurent hypoglycemia is common in patients with impaired awareness of hypoglycemic warning symptoms. Many patients with recurent hypoglycemia have psychiatric and psychological problems. Mental health problems occur frequently in diabetes, depression is the commonest disorder, but it is often unrecognized and untreated. Diabetic subjects with eating disorders, patients ommiting or decreasing the insulin dose to control weight generally have poor metabolic control. A psychologist or other mental health-care professional should be part of the diabetes care team.
Authors and Affiliations
Janusz Krzymień
Keywords
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