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Chapter-06 Medical Management of yperglycemia in Type 1 Diabetes Mellitus in Girls

BOOK TITLE: Diabetes Mellitus Issues for the Indian Women

Author

1. Chawla Rajeev
2. Chawla Aastha
3. Jaggi Shalini

ISBN

9789352702596

DOI

10.5005/jp/books/18030_7

Edition

1/e

Publishing Year

2018

Pages

Author Affiliations

1. North Delhi Diabetes Center, New Delhi, India, North Delhi Diabetes Centre, Delhi, India, North Delhi Diabetes Centre, New Delhi, India, RSSDI, North Delhi Diabetes Centre, Rohini, New Delhi, India, Maharaja Agrasen Hospital, Punjabi Bagh, New Delhi; Rohini, New Delhi, India, North Delhi Diabetes Centre, New Delhi
2. North Delhi Diabetes Centre, New Delhi, India, Sardar Patel Medical College, Bikaner, Rajasthan, India, North Delhi Diabetes Centre, Rohini, New Delhi, India
3. Dr Mohans’ Diabetes Specialities Centre, New Delhi, India, Dr Mohan Diabetes Specialities Centre, New Delhi, India, Lifecare Diabetes Centre, Kirti Nagar, New Delhi, India, Lifecare Diabetes Centre, New Delhi, India, Dr Mohans’ Diabetes Specialities, Center, New Delhi, India, Dr Mohans’ Diabetes Specialities Center, New Delhi, India, Dr Mohans’ Diabetes Specialities Center, New Delhi, India, Dr Mohans' Diabetes Specialties Centre, New Delhi, India, Dr Mohan’s Diabetes Specialities Centre, New Delhi, India, Dr Mohans' Diabetes Specialities Center, New Delhi, India, Dr Mohan’s Diabetes Specialities Center, New Delhi, India, Dr Mohans' Diabetes Specialities Centre, New Delhi, India

Chapter keywords

Medical management, hyperglycemia, type 1 diabetes mellitus, diabetic ketoacidosis, DKA, insulin therapy, glucose monitoring, eating disorder, adult care

Abstract

Abstract

The aim of this chapter is to focus on the medical management of hyperglycemia in type 1 diabetes mellitus in girls. Diabetes mellitus is one of the commonest endocrine disorders affecting children. Managing diabetes in children and adolescents can often be a tightrope walk for the healthcare provider owing to certain unique aspects involved in the care of this delicate population cohort, more so in the young girls. Unique challenges to diabetes management in this age group include problems in self-care abilities, supervision in school or child care facilities, neurocognitive vulnerability to hypoglycemia and hyperglycemia, and potential comorbidity of diabetic ketoacidosis (DKA). This chapter covers the glycemic control, insulin therapy, glucose monitoring, chronic poor metabolic control, diabetes self-management education and psychosocial support, psychological/psychiatric risks, insulin resistance at puberty, eating disorders, prevention and intervention, and transition to adult care.

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