What is "brittle diabetes?" The person who has it is 49, 202 pounds, male, and has had diabetes for five years. He was recently diagnosed with Brittle Diabetes. I would like to know what it is.
Brittle diabetes is a rather old fashioned term that used to be applied to cases of both Type 2 and Type 1 diabetes in which there were unpredictable and inexplicable fluctuations of blood or urine sugars and where acidosis, often requiring hospitalisation, was frequent. It was not a specific diabetes variant and as the importance of diabetes education, the availability of home blood glucose monitoring, the understanding of factors other than diet in blood sugar levels and the important role of psychosocial factors in maintaining control became better understood the term fell into disuse. Nowadays poor control, as defined by a high A1c level, calls for a much more specific definition as to where the problem lies.
For further comments, please look at a previous question.
Original posting 2 Nov 96
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