Types and types

What is compensated diabetes: stages, levels and features of the regime

The diagnosis of “diabetes mellitus” is not yet a sentence, so you should not panic when it is detected.

Get rid of this disease, unfortunately, will not work. But to adjust their health, seeking to approach the health of a healthy person, it is quite possible.

Subject to a doctor’s prescribed diet, constant monitoring of sugar level and regular therapeutic procedures, the blood glucose level can approach the optimal one, resulting in a better state of health, giving the patient a chance to live a full life without painful inconvenience.

Compensated diabetes: what is it?

Compensated diabetes is a type of diabetes in which blood glucose levels are close to those of a healthy person.

Typically, this condition occurs after therapeutic measures, as a result of dieting and maintaining an appropriate level of physical activity. In a similar situation, talk about the onset of compensation.

With CFC, the risk of complications is reduced to a minimum, thereby increasing the patient's life expectancy. Subject to good compensation, it is possible to reduce the manifestations of the disease to almost zero.

In particularly difficult clinical cases, dieting and exercise to compensate is not enough. In this case, insulin injections are recommended to correct the condition and maintain it at an optimal level.


There are three stages of compensation for the disease: compensated, subcompensated, decompensated.

With compensated diabetes, there are no significant changes for the worse for the patient. In this case, the sugar content in the blood returns to normal, the patient is in satisfactory state of health, the likelihood of complications is reduced to zero.

The subcompensated stage is an intermediate link between a state close to normal and accompanied by serious pathological changes. In this case, the sugar contained in the blood only slightly exceeds the normal values ​​(no more than 13.9 mm / l).

With subcompensated diabetes in the urine there is no acetone, and the loss of sugar during urination does not exceed 50 g. At this stage, complications may appear, but their development will occur more slowly than with decompensated diabetes.

Decompensated stage is a special problem for specialists, since the patient's condition and laboratory parameters are difficult to correct.

Even with intensive therapeutic measures, the blood sugar level at this stage is always elevated (more than 13.9 mm / l), the urine output of glucose is more than 50 g. At the same time, acetone is also present in the urine.

Such indicators are extremely dangerous not only for health, but also for human life, because they can lead to diabetic coma, which in turn can cause a fatal outcome. As a rule, the decompensated stage occurs when the disease is in a neglected state.

In order to prevent severe manifestations, it is recommended that you carefully monitor your health and follow the recommendations of your doctor, even in situations where diabetic processes have just begun to develop in your body.

Features of the mode

When an elevated blood sugar level is detected in a patient, it is necessary to follow the recommendations of the doctor and throw all efforts to stabilize this indicator in order to achieve maximum compensation. After all, with diabetes, success in treatment is 80% dependent on the patient himself, and only 20% comes from medicines and doctor help.

Returning to normal indicators will not only improve your well-being, but also avoid the development of complications that can lead to serious illness, disability and even death. So, what are the features of lifestyle that will have to lead to stabilize the level of sugar?

First you need a strict diet, which will have to follow the following rules:

  • exclude bakery products from wheat flour;
  • abandon spicy, salty, fried foods, confectionery and sweets;
  • to make a choice in favor of boiled and stewed food;
  • get used to small portions and fractional meals (up to 6 times a day);
  • control the amount of carbohydrates consumed during the day;
  • Do not consume more than 12 grams of salt per day;
  • Do not exceed the maximum number of calories per day.

It is also highly desirable to give up bad habits and to introduce physical activity into the daily range of activities. Very useful will be walks in the fresh air after dinner, cycling, swimming and many other types of physical activity that are feasible for you.

Loading your body with excessively heavy workouts is not recommended.

In addition, the patient, trying to achieve compensation, must necessarily measure the level of sugar content. For this you need to use a special device.

If the patient reaches the stage of compensation, after conducting laboratory tests, he will receive the following results:

  • fasting sugar will not exceed 5.5 units;
  • HELL - no more than 140/90;
  • cholesterol content - not more than 5.2 units;
  • glycated hemoglobin is not more than 6.5%;
  • 2 hours after the meal, the concentration of sugar in the blood does not exceed 8 units.

Compliance with the data obtained after the study listed standards is a good sign. In the future, in order to maintain the result, it is necessary to continue to follow the diet and then perform physical exercises. In this case, it will be possible to preserve compensation and completely avoid situations where complications may arise.

Compensation levels

The level of compensation is the most significant indicator of how effective the treatment is.

For patients with type 1 diabetes, the absence of metabolic syndrome is evidence that they will not develop renal failure and diabetic retinopathy.

For owners of type 2 diabetes, such changes will also be positive, since they exclude the likelihood of developing heart attacks. If a patient has been found to have subcompensated diabetes of any type, there remains the risk of deviations in the work of the cardiovascular system. Moreover, violations can have different degrees of severity.

If the therapeutic course is chosen correctly, and the patient observes all the prescriptions and advice of the doctor, the process is almost completely stopped. For patients with diabetes and type 1 and type 2, this manifestation is a good sign.

With decompensated diabetes of any type there is a risk of chronic hyperglycemia, which can cause damage to many organ systems. After all, glucose contained in the blood in large quantities, interacts with many substances and leads to the destruction of small vessels and capillaries, as a result of which the eyes and kidneys can suffer.

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5 steps to compensate for type 1 diabetes:

When symptoms of diabetes are detected, the main thing is to take action and achieve compensation in time. Otherwise, you run the risk of getting chronic hyperglycemia, which will be almost impossible to get rid of even if all the requirements of the doctor are met.

Achieving a compensatory state in the early stages of the disease is not a difficult task. However, the possibility of normalizing the state becomes more complicated as the severity of the disease increases and the onset of associated complications.

Watch the video: Is the Ketogenic Diet SAFE for Diabetics? Diabetics Must Watch (December 2019).