Article (Scientific journals)
Le coma hypoglycemique, un phenomene paroxystique redoute chez le patient diabetique de type 1.
Radermecker, Régis; Scheen, André
2004In Revue Médicale de Liège, 59 (5), p. 265-9
Peer reviewed
 

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Keywords :
Diabetes Mellitus, Type 1/complications; Diabetic Coma/etiology/prevention & control; Humans; Hypoglycemia/physiopathology; Quality of Life; Risk Factors
Abstract :
[en] The hypoglycaemic coma is a severe complication for type 1 diabetic patients. Rarely fatal it may be associated with various paroxysmal accidents, potentially harmful, especially during driving. Hypoglycaemia certainly alters the quality of life because it markedly increases the anxiety of both the patient and his/her family. It is considered as a major limiting factor in the glycaemic management of type 1 diabetic patients. Being the consequence of numerous causal factors, hypoglycaemic coma is not always easy to prevent and may occur as a paroxysmal phenomenon, sometimes without obvious contributing circumstances. After having defined the various hypoglycaemic thresholds, we will analyse the pathophysiology of insulin-induced hypoglycaemia and of its hormonal counterregulation, and we will describe the hypoglycaemia unawareness phenomenon. These elements should help to better understand why a hypoglycaemic coma may suddenly occur in a diabetic patient. Some advices will also be given to reduce the risk of such a paroxysmal complication in patients with type 1 diabetes.
Disciplines :
Endocrinology, metabolism & nutrition
Author, co-author :
Radermecker, Régis ;  Centre Hospitalier Universitaire de Liège - CHU > Diabétologie,nutrition, maladies métaboliques
Scheen, André  ;  Université de Liège - ULiège > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale
Language :
French
Title :
Le coma hypoglycemique, un phenomene paroxystique redoute chez le patient diabetique de type 1.
Alternative titles :
[en] Hypoglycaemic coma, a feared paroxysmal phenomenon in type 1 diabetic patient
Publication date :
2004
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Volume :
59
Issue :
5
Pages :
265-9
Peer reviewed :
Peer reviewed
Additional URL :
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