Diabetes : 11 treatment pitfalls-and how to avoid them

There is no alternative to being eternally suspicious of underlying problems in the patient with erratkally controlled diabetes. Glucose control in those with known diabetes may unravel for a number of reasons, including overeating, Inadequate exercise, overin-sulinization (typically in patients with marked "glucose bounces"), and inadequate patient education about selection of injection sites and the mechanics of insulin injection. In addition, patients who experience repeated hypoglycemic episodes may overreact to even minor symptoms by overeating carbohydrates at night: the result is an elevation in morning fasting blood glucose levels. Psychological factors, including eating disorders, depression, and anxiety disorders, may upset diabetic metabolic balance. Close physician supervision and patient compliance can lead to better diabetes control.