Clinical analysis of patients with diabetes mellitus type 1
AbstractPatients with diabetes mellitus type 1 statistically make 12–15% of the total number of patients with diabetes. Generally they are young people who try to lead an active way of life and seek to be full-fledged members of society. While providing the hospital medical care to such people a set of problems for the doctors as well as for the patients is revealed,.
Objective – to demonstrate the multiple-factor nature of satisfactory glycemic control for the patients with diabetes mellitus type 1.
Methods. Examination of the patient with diabetes in hospital. The detailed, structured collection of anamnesis data, interpretation of laboratory data, use of high technologies in diabetes control, patient education in the school of diabetes and on the individual basis, diagnosis of later complications.
Results. The patient with more than 11 years of history of diabetes mellitus type 1 was examined. Based on the patient’s complains, she was diagnosed with a distal diabetic polyneuropathy, the sensomotor type confirmed with data of an electroneuromyography; the secondary osteoporosis confirmed with the results of densitometry; chronic pyelonephritis in an exacerbation stage, on the basis of clinical and bacteriological analyses. In the course of diagnostic measures the reasons of a decompensation of diabetes, frequent hypoglycemia was established.
Conclusion. In the process of inpatient treatment the doctor has an opportunity to study in detail the clinical record of the patient, to make correction of antihyperglycemic therapy and to provide training of the patient either in a group or individually.
Keywords:diabetes mellitus type 1, clinical analysis