Stable Type 1 Diabetes
Brittle Type 1 Diabetes
Estimated - CDC - 1.5 million cases
Most often diagnosed in children, adolescents or young adults but can occur at any age
BG levels may fluctuate occasionally
BG stabilized with proper diet, exercise and insulin regimen providing predictable results
Does not impact ability to carry out regular activities of daily living
Glycemic variability limited
HbA1c commonly employed as a monitoring tool.
Diabetic complications limited or delayed
Exercise encouraged as part of normal routine to lower BG
No cure for diabetes available
Estimated – some 70,000 in USA
More common in women between the ages 15 & 30 but can occur at any age in either gender
BG fluctuates rapidly from minute to minute with major swings from low to high & high to low
BG unstable, unpredictable and uncontrollable despite proper regimen.
Creates a very disruptive life style – feels ill,misses work, ER visits and hospitalization not uncommon.
Glycemic variability significantly
increased. 36% GV distinguishes brittle or unstable diabetes.
HbA1c test ineffective. Should not be employed because it does not measure glycemic variability
Complications (DKA) & hypoglycemic coma more frequent. Nephropathy. neuropathy, retinopathy and cardiovascular issues more likely.
Exercise does not always result in a decline in BG levels. Caution is necessary above 250. See section on exercise for recommendations.
Brittleness has a cause. When determined,and treated successfully, individual reverts to stable Type 1 condition without the seesaw effect