[Problems of compensation of the insulin-dependent form of diabetes mellitus]

The decompensation of the insulin-dependent type of diabetes mellitus under domestic conditions results from a low level of education of patients and their family members with regard to therapy of this disease, a formalistic attitude to doctor's recommendations and the absence of a regular control over a course of disease. Some patients and often physicians believe that the most effective measure for improving carbohydrate metabolism is to raise a dose of insulin which leads to the development of a syndrome of chronic overdosage and a more severe course of diabetes mellitus. The instruction of such patients with respect to the main therapeutic principles of this disease and their active participation in therapeutic measures and control over a course of disease will make it possible to raise the level of compensation in diabetes mellitus patients.