Acute and Chronic Adverse Outcomes of Type 1 Diabetes

Endocrinol Metab Clin North Am. 2024 Mar;53(1):123-133. doi: 10.1016/j.ecl.2023.09.004. Epub 2023 Oct 17.

Abstract

Type 1 diabetes is associated with both acute and chronic complications. Acute complications include diabetic ketoacidosis and severe hypoglycemia. Chronic complications can be microvascular or macrovascular. Microvascular complications include retinopathy, nephropathy, and neuropathy. The pathophysiology of microvascular complications is complex. Hyperglycemia is a common underlying risk factor, underscoring the importance of optimizing glycemic management. Patients with type 1 diabetes are also at increased risk of macrovascular complications including coronary artery disease and vascular disease. The American Diabetes Association provides screening guidelines for chronic complications of diabetes. Adherence to these guidelines is an important aspect of diabetes care.

Keywords: Complications; Diabetic ketoacidosis; Macrovascular; Microvascular; Severe hypoglycemia; Type 1 diabetes.

Publication types

  • Review

MeSH terms

  • Blood Glucose
  • Diabetes Mellitus, Type 1* / complications
  • Diabetes Mellitus, Type 1* / therapy
  • Diabetic Retinopathy* / diagnosis
  • Diabetic Retinopathy* / etiology
  • Diabetic Retinopathy* / therapy
  • Humans
  • Hyperglycemia* / complications
  • Hypoglycemia* / complications
  • Risk Factors

Substances

  • Blood Glucose