It is worth knowing the risk factors which aggravate diabetic control. Among many factors, particularly the patient's attitude toward their treatment, social environment, diet and obesity are said to have strong influence on the state of control. Our previous study on factors which influence the onset of diabetes mellitus revealed that there was a close relationship between the onset of diabetes and obesity in adult-type diabetics and mental stress in juvenile-type diabetics. In this study, risk factors on the aggravation of the disease were studied in three juvenile-type diabetics and 20 adult-type diabetics whose diabetic control were distinctly aggravated. And, the author compared this results with that of previous study.
Data obtained showed that there were close relationships between aggravation of diabetic control and diet, state of treatment and social circumstances in both types of diabetes. Especially, in adulttype diabetes, obesity has a very strong influence on aggravation of the disease as well as on the onset of the disease.
Besides many risk factors on aggravation of the disease, diabetic control is finaly attributed to character, self-consciousness of patients and recognition of the disease. The author emphasized the necessity of education and psycho-somatic treatment for diabetic patients.