Causes of decompensation of 1 type diabetes mellitus in hospitalized to reanimation and intensive care department patients


DOI: https://dx.doi.org/10.18565/therapy.2018.5.40-46

V.M. Plakhotnyaya, E.Ju. Martynova, T.Ju. Demidova, Ju.E. Poteshkin

1 The Department of endocrinology of general medicine faculty of FSBEI of Higher Education «N.I. Pirogov Russian national research medical university», Moscow, Russia; 2 The Department of endocrinology of the general medicine faculty of I.M. Sechenov First Moscow state medical university, Moscow, Russia
The results of retrospective analysis of case histories of patients with acute complications of type 1 diabetes (DM1) hospitalized in the intensive care unit are represented in the study. Material and methods. Patients were divided into groups depending on the causes of decompensation: 104 patients with a violation of lifestyle recommendations ; 53 – with errors of insulin therapy; 55 – with newly diagnosed CD1. Results. The attendance of the diabetes school was analyzed: among hospitalized patients, 44,8% of them do not visit it. Frequency of chronic complications was 81,6%. There were revealed correlations between diabetes school attendance and frequency of chronic complications of diabetes mellitus. Conclusions. The main reason of type 1 diabetes mellitus decompensation was determines as a lack of orientation of patients in their disease.
Keywords: type 1 diabetes, diabetic ketoacidosis, hyperglycemic hyperosmolar syndrome, hypoglycemia, chronic complications of diabetes mellitus, school of diabetes, distant learning of patients
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    • About the Autors

    Victoria M. Plakhotnaya, Federal State Budgetary Educational Institution of Higher Professional Education «N.I. Pirogov Russian national research medical university». Тel.: +7 (962) 176-15-40. E-mail: vplahotnyaya@gmail.ru.
    Evgenia Ju. Martynova, postgraduate student of the Department of endocrinology of the medical faculty of the I.M. Sechenov First Moscow state medical university. Tel .: +7 (963) 976-30-61. E-mail: doctor.martynova@gmail.com.
    Tatyana Ju. Demidova, MD, professor of the Department of endocrinology of the faculty of physiotherapy of the Federal State Budgetary Educational Institution of Higher Professional Education «N.I. Pirogov Russian national research medical university». E-mail: t.y.demidova@gmail.com.
    Yury E. Poteshkin, MD, associate professor of the Department of ndocrinology of the faculty of physiotherapy of the Federal State Budgetary Educational Institution of Higher Professional Education «N.I. Pirogov Russian national research medical university». Tel.: +7 (916)173-64-62. E-mail: dr.yep@yandex.ru.

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