Labile diabetes is the most problematic form of this disease. In translation, the term “labile” means “sliding”.
Therefore, the disease can be called a separate form of classical diabetes. Changes in the level of glucose in this case can occur several times a day.
It is this form that faces serious violations. The patient is observed unsatisfactory work of the nervous system, the deterioration of the vessels, in some cases - diabetic coma. The fluctuating level of sugar in the body leads to damage to the kidneys, the heart and the development of bouts of hypoglycemia.
In some cases, death occurs. The difficulty of selecting the right dose of insulin to eliminate the manifestations of this disease contribute to the development of ketoacidosis. Persistent complications lead to the need for inpatient treatment.
This has a negative effect on the patient’s working capacity, and relations with relatives are deteriorating. To maintain an optimal standard of living, to avoid complications, it is necessary to identify the disease in time and take all necessary steps to eliminate it.
When the course of diabetes mellitus lability is manifested in some cases. It is rather a psychological problem (rather than physiological). The greatest difficulty lies in the fact that often ineffective treatments are used.
After all, the true cause of this condition is rather difficult to identify. Those patients who do not measure the sugar level as often as they need should form the largest risk group.
In order for the ailment not to develop, it is necessary in the process of administering insulin to observe some recommendations, namely:
- evaluate the area of drug administration more carefully;
- follow a diet (the most important part of effective therapy);
- eliminate the use of defective syringes and other poor-quality instruments;
- check the performance of the meter regularly, as well as verify its performance with the data obtained after testing;
- Store insulin correctly, check its expiration dates (after the expiration of the prescribed date it is impossible to use the drug).
The attention of modern specialists is especially attracted to this type of disease. This can be explained by the problem of prognosis and the complexity of further therapy.
Medical practice suggests that diabetes in most cases is accompanied by the following symptoms:
- acetone is present in the urine;
- frequent invisible or pronounced bouts of hypoglycemia;
- the patient does not lose weight at high rates of sugar;
- the development of infectious and other diseases improves the exchange of carbohydrates.
In addition, the deterioration of the psychological state becomes noticeable. Patients behave more capriciously and irritably. They often manifest an unfriendly reaction to loved ones, poor feeling persists. Tears, bouts of aggression, apathy are frequent characteristics of their behavior.
Patients who are in adulthood often complain when they focus on the deterioration of their state of health, difficulty in performing all sorts of work duties. Throughout the day, the patient may be bothered by severe headaches.
In adolescents, children suffering from labile diabetes, interest in knowledge disappears. If a child is prescribed high insulin doses for a long time (the main concentrations occur during the night), his sleep may be restless.
Children in this case often cry or cry in their sleep. In the morning, confused consciousness may occur.
The child often does not remember the night events. Drowsiness, lack of interest in almost everything is observed throughout the day. For adolescents, aggression, pronounced asocial behavior, as well as refusal to eat, are a distinctive feature.
It is also necessary to take into account all the reactions of the body, try to identify the mistakes that have already been made in eliminating the disease, to form the most effective and suitable treatment regimen. Experienced doctors at the same time take into account that patients in a more mature age experience glycemic fluctuations much harder than in younger ones.
To select the correct treatment regimen, you must confirm the glucose level jumps. In this case, an assessment of blood sugar levels is carried out every day.
To reduce the dose of insulin, two methods are used: fast (takes 10-15 days) and slow (2 months).
As a rule, it is rarely possible to alleviate the course of diabetes by lowering the dose of insulin. To bring carbohydrate metabolism back to normal, patients need to change their diet. Consumption of complex carbohydrates in this case is reduced to a minimum. Due to this, this indicator will correspond to the generally accepted norm.
In addition, such activities should be carried out to eliminate sudden drops in blood sugar:
- adhere to the recommended activity mode;
- measure sugar levels at night, in the afternoon (every 4 hours);
- inject insulin, which has a short effect, at least 5 times before the main meals;
- to monitor the health of the device for measuring sugar level, to assess the state of healthy medical instruments intended for the introduction of insulin.
Somoji phenomenonThe labile manifestation of the disease has much in common with the phenomenon that was discovered by M. Somogy in 1939.
In those years, due to the improper response of the crew to failures of auto-control systems in airplanes, emergency situations became more frequent.
Doctors have compared this with the manifestations when the patient begins to react nervously to a drop in blood sugar. However, he does not suspect that this reaction is quite understandable. It is triggered by an increased insulin dose, which was administered.
Studies have shown that when the sugar level approaches the lower boundary, the liver uses the available glycogen. Glucose is formed during metabolic processes. Accordingly, for the patient is already achieved the usual level of glycemia.
If the glucose level falls at night (in most cases), the patient is in a dream and does not feel anything. Feeling nauseous, severe headaches, he checks the sugar and notes its too high level. This condition is quite understandable, because the liver has fulfilled its function.
Having not fully understood, the doctor often prescribes a large dose of insulin.
His behavior is similar to the actions of pilots who did not have confidence in automation. The result of such actions, as you know, is very sad.
In some clinical cases, it is enough to make sure that labile diabetes is a classic variant of the Somoggia effect. To maintain the situation, it is necessary to monitor the blood sugar levels for 7 days.
Measurements are performed every 4 hours (also at night). With the results obtained, you must see a doctor. Based on these records, he will select the most appropriate dose of insulin for injection.
The main characteristics of labile diabetes in the video:
Patients diagnosed with labile diabetes are doomed to constant injections. Insulin stabilizes the subjective state. However, the body automatically receives a signal to reduce the production of the hormone.
Thus, his natural work is depressed. Insulin atrophies cells instead of activating their work. Therefore, doctors agree that in such cases it is necessary to influence the cause of the disease, and not its consequence.