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

Examens diagnostiques

  • Examen de choix pour le diagnostic :
    Le diagnostic est basé sur sa mesure
    Diagnostic 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 quotidien
    Ces 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 diagnostic
    Marqueurs 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.

Références

  • Here 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
  • Jacobsen 2026. Revue narrative : Type 1 Diabetes: A Review. JAMA
    Ninety 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
  • The 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
  • 9.1 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
  • Recos USA Diabetes 2025. Recommandations de pratique clinique : Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2025. Diabetes Care
    Diabetes 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
  • A 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