POORLY CONTROLLED TYPE 1 DIABETES MELLITUS – CASE REPORT
Abstract:
The two major forms of diabetes mellitus (DM) are type 1 and type 2 diabetes. People
having T 1 DM require multiple daily injections of insulin. The standard method for insulin
replacement is called Intensive Insulin Therapy. Diabetes can lead to complications and can increase
the overall risk of dying prematurely, especially in poorly controlled, when they appear earlier and
are more severe. Insulin resistance can reflect in high insulin doses, obesity and poor glycaemic
control. We report the case of a patient with type 1 DM for 37 years, with micro- and macrovascular
complications, with poor glycaemic control despite high insulin doses on a 5 injections/day regimen.
Overcoming insulin resistance leads to good metabolic control.
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