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"The most frequent cause [of glucose fluctuation] nowadays is the presence of asymptomatic hypoglycemia that leads to a hyperglycemic rebound," said Freddy Eliaschewitz, MD, a diabetologist with Albert Einstein Hospital in São Paulo, Brazil. [medpagetoday.com]

A further concern to keep in mind with a patient such as this is that between one-third and one-half of all teenage girls with type 1 diabetes will withhold insulin at some time for weight loss. [mdedge.com]

It can cause: Breath that smells fruity Nausea and vomiting Shortness of breath Weakness Confusion Abdominal pain Coma Who Gets It? Brittle diabetes isn't common. About 3 out of every 1,000 people who take insulin for diabetes will get it. [webmd.com]

Rare causes • Mauriac syndrome:It is rare complication of type 1 DM characterized by extreme hepatomegaly due to glycogen deposition,along with growth failure and delayed puberty. • Polyglandular autoimmune syndrome 6 7. [de.slideshare.net]

22 Brittle diabetes revisited: a description of erratic and difficult-to-control diabetes in an elderly woman with Type 1 diabetes. 38 Newman C...Dinneen SF 31004371 2019 23 Diabetes of the exocrine pancreas. 38 Wynne K...Dornhorst A 30151918 2019 24 Hepatomegaly [malacards.org]

[…] will likely include: Frequent urination Extreme thirst Blurred vision Fatigue Headache If you don’t treat high blood sugar, it can turn into a more serious condition called ketoacidosis. [webmd.com]

vision dry skin Balancing your blood sugar levels is the primary way to manage this condition. [healthline.com]

A diagnostic work-up determined that she had underlying celiac disease, with an important clue being the osteoporosis. “When you see osteoporosis in a young person you have to think about calcium absorption,” he said. [mdedge.com]

Diabetes in the elderly–a neglected area? Diabetologia 1984 ; 27: 167 – 73 Google Scholar Medline 16. Meneilly, G.S., Tessier, D. Diabetes in the elderly. Diab Med 1995 ; 12: 949 – 60 Google Scholar Crossref Medline 17. [journals.sagepub.com]

In some cases, psychological problems lead to neglected self-care for diabetes. For example, people with brittle diabetes may stop maintaining a healthy diet or keeping up with the management of their blood sugar. [verywellhealth.com]

Symptoms can include: Feeling shaky Nervousness or anxiety Sweating, chills Irritability Confusion Fast heart rate Dizziness Nausea Blurred vision Weakness Headache Seizures Unconsciousness When your blood sugar shoots up above 200 mg/dl, your symptoms [webmd.com]

Severely low blood sugar, called hypoglycemia, can cause sudden and unexpected seizures, coma, heart attacks, and even death. advertisement Insulin is made by specialized cells in the pancreas called islet cells. [statnews.com]

Memory or behavioral problems were rare, and only four patients were considered as possibly deliberately manipulating therapy. However, 84 percent of these patients were living independently. [docguide.com]

At 6 months following islet allotransplantation, he reported restoration of hypoglycemia awareness, with symptoms of tremors and hunger occurring during one episode of hypoglycemia when the capillary blood glucose was 3.4 mmol/L. [pancreas.imedpub.com]

This disruption caused by symptoms including loss of cognitive functioning and slurred speech, is a key defining feature that separates BT1D from stable Type 1 Diabetes (T1D). [prnewswire.com]

Extract: Hormonal balance was studied in eight insulin-treated diabetic children who had excessive glycosuria. Glucose, growth hormone, and cortisol in plasma were determined every 0.5 hr for 48 hr. [nature.com]

For example, cases with extensive pancreatic necrosis (as in this case), severe pancreatic trauma, or where there is concern or evidence of pancreatic sepsis (because of a risk for hepatic abscesses). [pancreas.imedpub.com]