Severe diabetes can arise from:
- Poor insulin adherence
- Inadequate medication or wrong dosage
- Neglect of diet and physical activity
- Infections or other chronic illnesses
Symptoms:
- Blood glucose levels above 15 mmol/L
- Intense thirst, frequent urination
- Dry skin, blurred vision
- Slow wound healing, frequent infections
- Diabetic coma in extreme cases
Complications:
- Diabetic nephropathy (kidney failure)
- Retinopathy (vision loss)
- Neuropathy (numbness and pain in limbs)
- Cardiovascular diseases
- Foot ulcers and gangrene
Treatment options:
- Personalized insulin therapy (pump or injection)
- Continuous glucose monitoring (CGM)
- Control of blood pressure and cholesterol
- Supervision by endocrinologist, diabetologist, nephrologist
- Inpatient care and recovery programs