Decompensation of diabetes mellitus, decompensated and non-compensated kinds

Type 1
2nd type


Decompensation of diabetes mellitus Decompensated diabetes mellitus is a disease in which blood sugar levels cannot be corrected by means of drugs, resulting in development of severe damage to many patient’s systems and internal organs. Development of such critical states requires immediate medical attention.

Decompensated of diabetes leads to the development of acute and chronic complications. Acute complications occur rapidly, often within hours or even minutes. If the patient is not helped immediately, the consequences of such a state can be severe, including death.

Decompensated diabetes and complications

To acute complications of decompensated diabetes mellitus pertained such diseases as , hyperglycemia, ketoacidosis, glycosuria and diabetic coma

Hypoglycemia is characterized by a sharp drop of blood sugar level compared to those that patient had before. This condition develops quickly and it’s manifested in the form of acute hunger and severe weakness. Decompensation of diabetes mellitus is dangerous because of possibility of appearance and development of hypoglycemic shock, which further is transformed into a coma.

Hyperglycemia occurs as a result of a sharp increase of concentration of blood sugar. It is accompanied by general weakness and rapid weight loss. It is also considered the most dangerous state in case of decompensated diabetes, because it causes severe damage patient’s internal organs and systems.

Ketoacidosis develops when the body is exposure severely to action of ketone bodies (toxins), which are formed in the body as a result of lipolysis. Ketoacidosis may transform into ketoacidosis coma that is often fatal for patient.

Glycosuria is another complication of decompensated diabetes. It is characterized by appearance of sugar in the urine, that indicates on a strong increase of level of sugar that is contained in blood.

Diabetic coma is serious, life-threatening condition of the patient. It develops in the presence of inadequate treatment of uncompensated diabetes, or as a result of high demand for insulin in acute infections, pregnancy, trauma, stress, etc. It requires urgent remedial measures intended to compensate for presence of this disease.

Decompensated diabetes, chronic complications

To chronic complication of decompensated diabetes can be included damage of body organs and systems, caused by prolonged rise of sugar level that is contained in the blood (in other words in case of hyperglycemia). High level of sugar in blood most affects blood vessels - arteries and veins, nerves, eyes.

To severe complications in case of decompensation can be included diseases such as diabetic nephropathy, microangiopathy, diabetic retinopathy, atherosclerosis, coronary heart disease, diabetic foot and etc.

Consequences of late complications in case of decompensation of diabetes mellitus can be very heavy, for example: kidney failure, blindness, heart attack, gangrene and amputation, etc. Therefore, the most important task in the treatment of non-compensated diabetes is disease compensation that helps to prevent high level of sugar contained in the blood.