The long-term outlook of patients with brittle insulin-dependent diabetes is uncertain. During sc infusion free insulin profiles were erratic and unpredictable. Insulin in an amount corresponding to the daily insulin requirement was infused by a mobile electric infusion pump at precalculated rates between 30 and 7 ml/hour during 2 days. Dirty electricity, generated by electronic equipment and wireless devices, is ubiquitous in the environment. Mean age and BMI was 46+/-3 and 22+/-1, respectively. Q: I am a brittle diabetic and live in fear every day as my blood sugar goes from high to very low within a few hours, and I never know it’s low until it is too. PAS-1 is rare and normally occurs in childhood.
Box 5539, Riverton, NJ 08077. We try to do her glucose curves toward the end of the week after the owner (rather than the father) has been injecting the insulin herself. Postpone until ketones decline to normal levels. Diabetics: Raising Money for JDRF See more about Money, Type 1 Diabetes and Shirts. He is still taking metformin on that schedule, plus acetylsalicylic acid (ASA) to prevent cardiovascular disease. The patient reports that he monitors his FSG, and most mornings his glucose is 100-130 mg/dl, but he spikes to >200 mg/dl with all meals, especially if he eats “things with carbs.” He is frustrated that his glucose is not better all of the time despite his efforts. He says he is eating a restrictive diet and controlling portion size.
He has a history of asthma for which he still uses a beta agonist inhaler as needed, and an inguinal hernia. He does not use tobacco, alcohol, or recreational drugs. Tekin Z, Schenck L, Garfinkel M, Philipson L, Thistlethwaite J, Chon W, Golab K, Savari O, Ramachandran S, Rezania K, Hariprasad S, Millis J, Witkowski P. Brittle Diabetes: Strategies, Diagnosis, and Treatment. However, heart disease is present in both parents, and one sibling has autoimmune thyroid problems. Physical exam is otherwise normal. However, there are times when this increased sensitivity can be problematic.
with a BMI 21.8; BP of 128/82, and pulse of 69. I did not eat according to my diet, and I ignored my mother. When someone presents in middle age and without the typical type 2 phenotype, the astute clinician should consider other diagnoses, including a secondary cause of beta cell failure. First, and most importantly, if a person presents with new onset insulin deficiency above over the age of 50—especially when they present with the “polys,” weight loss, and steatorrhea—the primary concern should be pancreatic insufficiency either from pancreatitis or a pancreatic tumor. In this scenario, the person would be started on insulin and should have the pancreas imaged and hormonally tested. This is particularly true if there are no antibodies that may indicate type 1 diabetes. In the case of this patient, who has not yet been tested for antibodies, there is also the possibility that he may have a variant form of diabetes.
For one thing, he has characteristics suggesting what Paul Zimmet first described as adult onset type 1 diabetes, in which patients did not have an immediate need for insulin.[iii] The condition has been termed latent autoimmune diabetes of the adult (LADA), slowly progressive type 1 DM, or type 1.5 diabetes. Â Restoring the entire energy-producing system of the body is a wonderful aspect of nutritional balancing that goes far beyond the use of remedies such as minerals, vitamins, homeopathy, herbs and other natural or medical methods. Although thought to be an autoimmune disease like type 1 diabetes, LADA also shares certain characteristics with T2DM: it is diagnosed typically in middle aged adults, and most people will have a delay from time of first diabetes diagnosis and need for insulin. .