Diabète type 1, insulinodépendant
Code/s CIM-10 : E10
Auteur : Article non édité
Dernière mise à jour : 03/06/2021
A éditer
A éditer .
Causes :
A éditer.
Traitements
Liste des traitements : 1ème ligne
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Pour les dose pré-prandiales ou en pompeEn schéma basal-bolus, pour les doses pré-prandiales, ou pour un traitement avec pompe d'insuline
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Pour la dose basaleEn schéma basal-bolus, pour la dose basale
Examens diagnostiques
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Examen de choix pour le diagnostic :
Le diagnostic est basé sur sa mesureDiagnostic de diabète si glycémie à jeun > 1,26 g/L, ou à tout moment de la journée > 2,00 g/L, confirmé en 2 occasions différentes -
Examen additionnel :
Très utile pour le suivi au quotidienCes dispositifs permettent d'éviter les multiples piqûres quotidiennes pour mesurer la glycémie capillaire, améliorant le confort du patient, et sont associés à un meilleur contrôle glycémique et à une réduction des hypoglycémies sévères -
Examen de choix pour le diagnostic :
Positifs chez 95% enfants et jeunes au diagnosticMarqueurs principaux de l’auto-immunité typique du diabète de type 1, très fréquemment positifs (90 - 97%) au diagnostic chez les patients enfants et jeunes et souvent, mais moins fréquemment, dans le diabète de type 1 d'apparition plus tardive, chez l'adulte
Scores, Listes utiles
- Aucun.e score renseigné.e pour cette maladie, pour l'instant.
Diagnostic différentiel
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Certains patients âgés peuvent avoir un diabète de type 1, par perte de la production endogène d'insuline. Et certains patients jeunes peuvent avoir un diabète de type 2, notamment si obésité associée
Références
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Evans 2020. Méta-analyse : The Impact of Flash Glucose Monitoring on Glycaemic Control as Measured by HbA1c: A Meta-analysis of Clinical Trials and Real-World Observational Studies. Diabetes TherapyHere we report on a meta-analysis of real-world observational studies on the impact of flash continuous glucose monitoring on ... HbA1c. .. A total of 271 studies were identified in our search, of which 29 contained ... HbA1c data up to 12 months in a total of 1723 participants with type 1 diabetes or type 2 diabetes ... Overall mean change in laboratory HbA1c across study subjects at 2-4 months was - 0.55% (95%CI - 0.70, - 0.39). .. HbA1c fell within the first 2 months and changes were sustained up to 12 m
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Jacobsen 2026. Revue narrative : Type 1 Diabetes: A Review. JAMANinety percent to 95% of people with type 1 diabetes have at least 1 autoantibody .. include autoantibodies to insulin, glutamic acid decarboxylase 65, insulinoma-associated 2, and zinc transporter 8 autoantibodies ... These autoantibodies are present before clinical symptoms develop and can identify early stages of type 1 diabetes .. People with type 1 diabetes require lifelong insulin replacement, ... continuous glucose monitors with insulin pumps, which automatically adjust insulin delivery in response t
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Recos Europe USA 2021. Recommandations de pratique clinique : The Management of Type 1 Diabetes in Adults. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes CareThe consensus report has focused predominantly on current and future glycemic management strategies and metabolic emergencies. Recent advances in the diagnosis of type 1 diabetes have been considered .. type 1 diabetes places a unique burden of management on the individual with the condition .. The importance of diabetes self-management education and support and psychosocial care are rightly documented
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Recos USA ADA 2026. Recommandations de pratique clinique : Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes—2026. Diabetes Care9.1 Treat most adults with type 1 diabetes with continuous subcutaneous insulin infusion or multiple daily doses of prandial (injected or inhaled) and basal insulin. 9.2 For most adults with type 1 diabetes, insulin analogs (or inhaled insulin) are preferred .. to minimize hypoglycemia risk. 9.3 ... adults with type 1 diabetes should receive education on how to match mealtime insulin doses to carbohydrate intake ... They should also be taught how to modify the insulin dose (correction dose) based on concurr
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Recos USA Diabetes 2025. Recommandations de pratique clinique : Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2025. Diabetes CareDiabetes mellitus is a group of metabolic disorders of carbohydrate metabolism in which glucose is both underutilized as an energy source and overproduced due to inappropriate gluconeogenesis and glycogenolysis, resulting in hyperglycemia. Diabetes can be diagnosed by demonstrating increased concentrations of glucose in venous plasma or increased A1C ... Diabetes is classified conventionally into several clinical categories (e.g., type 1 or type 2 diabetes, gestational diabetes mellitus, and other specific
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RELIEF 2021. Cohorte rétrospective de grande taille : Important Drop in Rate of Acute Diabetes Complications in People With Type 1 or Type 2 Diabetes After Initiation of Flash Glucose Monitoring in France: The RELIEF Study. Diabetes CareA total of 74,011 patients with type 1 diabetes or type 2 diabetes who initiated the FreeStyle Libre system were identified from the French national claims database ... Hospitalizations for acute diabetes complications fell in type 1 diabetes (−49.0%) and in type 2 diabetes (−39.4%) following FreeStyle Libre initiation. .. Hospitalizations for hypoglycemia and hyperglycemia decreased in type 2 diabetes (−10.8% and −26.5%, respectively). .. a significantly lower incidence of admissions for DKA and for diabet