Decompensated diabetes mellitus

A few basic rules to avoid a condition called decompensated diabetes mellitus. The views of the leading endocrinologists of the Department of Pediatric Endocrinology of the Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation and patients who have reached heights in their careers and the social sphere are formulated in a short article.

So: how to avoid such a problem as diabetes mellitus decompensation, goals and objectives of diabetes mellitus therapy:

The main goal of diabetes therapy is to ensure that the diabetic’s body is close to a healthy state for as many years of life as possible. To achieve this goal, constant compensation of diabetes mellitus is required. Accordingly, the main task for a diabetic is to maintain blood sugar levels within the normal range. The normal can be considered a fasting blood sugar (plasma) level of 5 to 7 mmol / L (preferably up to 6.5 mmol / L).

Over the years, it’s tempting to give yourself some indulgence and expand the target range, but that’s wrong. On the contrary, the longer the “diabetic experience”, the higher the risks of complications, which means that the stricter self-control should be. I often noticed that I seemed to feel more comfortable on stable sugars in the range of 8-9 mmol / l than on sugars close to the lower limit of the norm (5 mmol / l). I considered the decrease in variability as the basis for this approach, since low sugars increase the risks of going into hypoglycemia. However, such a motivation is fundamentally wrong – one should strive not for low variability as such, but for low variability with sugars within the normal range. Fear of hypoglycemia in some periods can become a problem, but this problem can and must be solved – it is enough to measure blood sugar more often and have more “fast” carbohydrates with you (for insurance).