Immature from adolescence to the fertility potential of the transition period. During this period, the beginning of development of secondary sexual characteristics, hormonal and metabolic changes also occurred in the ensuing. Type Ⅰ diabetes mellitus by the apparent metabolic disorders, can interfere with hormonal and metabolic changes of puberty in the normal process, and occurred in the rapid metabolic changes of puberty also can type Ⅰ diabetes mellitus in patients with difficult to obtain a stable blood glucose control and the impact of some the occurrence of complications of diabetes. Puberty on the impact of type Ⅰ diabetes mellitus There are two main points:
(1) adolescent therapy of diabetes: diabetes in patients with a particular common phenomenon, that is, their blood glucose levels during their youth than the pre-adolescent high volatile. Children and adolescents compared to the pre-adolescent children of the average hemoglobin level of the lower pond, and then gradually increased until puberty, after puberty glycosylated hemoglobin levels decreased gradually. Experts believe that adolescence is difficult to control blood sugar as a result of adolescent patients with type Ⅰ diabetes mellitus experienced psychological, social pressure increase. If the doctor does not increase adolescent diabetes insulin dose may lead to ineffective treatment, so that increased blood glucose levels. It must be noted that in the same stage of puberty, Ⅰ patients with diabetes often girls than boys need more insulin.
Youth during the dawn phenomenon is more obvious in the clinical, the adolescent treatment goal should be to increase the availability of insulin. To this end, the need to change in adolescent patients with type Ⅰ diabetes mellitus insulin dosage program to alleviate the dawn phenomenon.
(2) adolescence the impact of the complications of diabetes: current view that the hyperglycemia of diabetic microvascular complications is a major contributing factor. However, before puberty hyperglycemia caused by microvascular damage, not as puberty or after puberty the same degree of hyperglycemia caused by microvascular damage as serious. In fact, the pre-adolescent diabetic retinopathy in patients with extremely rare. In addition to retinopathy, the adolescence of the occurrence of other complications of diabetes is also an important factor. Adolescence has been proved to affect the incidence of diabetic nephropathy, which confirmed the adolescent diabetes after the start of the occurrence of microvascular disease, and glycemic control have a certain relationship between.
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