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Brittle diabetes - Wikipedia, the free encyclopedia
Brittle diabetes , also known as unstable diabetes or labile diabetes , refers to a type of insulin-dependent diabetes characterized by dramatic and recurrent swings in glucose levels, often occu...
en.wikipedia.org/wiki/Brittle_diabetes |
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In most cases the cause of "brittle diabetes" is brittle management by the person with diabetes. From what you describe that is likely the problem in your brother-in-law's case. He has made some changes and yet it does not sound like he has fully accepted his diabetes and relies on the family for many things.
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Brittle Diabetes is a subjective term and the diagnosis often depends on the experience of the patient, family and physician involved. The most useful definition of brittle diabetes is a functional one: "the patient whose life is constantly disrupted by episodes of hyper- or hypoglycemia, whatever their cause".
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This case history resonates with a report by Bhattacharyya and others1 of a woman with coeliac disease and brittle diabetes whose recurrent hypoglycaemia was ameliorated by adherence to a gluten-free diet.
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NEW YORK -- True brittle diabetes is a rarity, with characteristicblood glucose lability, frequent hospitalizations, and life disruptionoften reflecting underlying psychiatric or organic disease, according toDr. Irl B. ... Like many patients with uncontrolled or brittle diabetes, this patient had severe major depression.
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Brittle diabetes is thus characterized by young age and female sex, and usually manifests itself as recurrent ketoacidosis or other forms of hyperglycaemic instability. Psychosocial problems and factitious metabolic decompensation are common...
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