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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8925
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pubmed:dateCreated |
1994-10-13
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pubmed:abstractText |
The long-term outlook of patients with brittle insulin-dependent diabetes is uncertain. We assessed the outcome of a group of young female patients with diabetes and recurrent ketoacidosis originally investigated in 1979-85 and reassessed after a mean of 10.5 (SD 1.4) years. 7 of the 33 patients could not be traced. 5 (19%) of the remaining 26 had died. Causes of death were not certain, but were probably ketoacidosis (2), hypoglycaemia (2), and renal failure (1). Of the 21 survivors, only 2 (10%) were still considered to have brittle diabetes. Diabetic complications were common (67%), and were more frequent than in a matched control group of stable patients with diabetes (25%). Brittle diabetic patients also had lower quality-of-life scores, more frequent psychosocial disruptions, and were on higher insulin doses (77 [39] vs 47 [15] U per day, p = 0.007) than controls. Pregnancy complications had occurred in 13 of 28 (46%) pregnancies in severely unstable patients compared with 2 of 27 (7%) in stable controls. Patients with brittle diabetes have a tendency to become more stable with time, but have a higher risk of death, more microvascular and pregnancy complications, and a poorer quality of life.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
17
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pubmed:volume |
344
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
778-81
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:7916072-Adolescent,
pubmed-meshheading:7916072-Adult,
pubmed-meshheading:7916072-Cause of Death,
pubmed-meshheading:7916072-Child,
pubmed-meshheading:7916072-Diabetes Mellitus, Type 1,
pubmed-meshheading:7916072-Diabetic Ketoacidosis,
pubmed-meshheading:7916072-Female,
pubmed-meshheading:7916072-Follow-Up Studies,
pubmed-meshheading:7916072-Hospitalization,
pubmed-meshheading:7916072-Humans,
pubmed-meshheading:7916072-Insulin,
pubmed-meshheading:7916072-Pregnancy,
pubmed-meshheading:7916072-Pregnancy Outcome,
pubmed-meshheading:7916072-Pregnancy in Diabetics,
pubmed-meshheading:7916072-Prognosis,
pubmed-meshheading:7916072-Quality of Life,
pubmed-meshheading:7916072-Recurrence,
pubmed-meshheading:7916072-Treatment Outcome
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pubmed:year |
1994
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pubmed:articleTitle |
Mortality and outcome of patients with brittle diabetes and recurrent ketoacidosis.
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pubmed:affiliation |
Diabetic Clinic, Royal Liverpool University Hospital, UK.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
|