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25 Cards in this Set
- Front
- Back
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microvascular
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retinopathy-- after 5 years of DM and about 50 % in P after 10 years
90 % are non proliferative-- microaneur, hemmor, exudate and edema-- tx- glucose control 10 % - with proliferations- blindmess and scars tx- lazer for neo vascularization (aneur , dot hemmorage retinal detach macvular edema perif neuropathy- decre sensation in the feet >>> ulcers>> osteomyelitis if pain- tx-- pregabalin gabapentin TCA symmetric poly neuropathy " stocking @ glove's numbness refractory pain and charcot;s joint PE-absent reflexes and loss of vibratory sense , ulcers perif median Nerve or CN3 are affected #1( CN3- paralyses but pupil reflex is normal tx glucose control for pain- see above, for gastroparesis-metoclorpramide or erytromycin mono neuropathy autonomic dysfunction( impotence tachycardia, gastroparesis) glomerulopatrhy>>>>> proteinuria hyperinfiltaration and proliferation and mesangial thickness ( diffuse or nodular-( kim- wilson), followed by microalbuminuria may be End stage renal failure sensitive test- randome urine albumoin-->30 mg it is earliest marker for DM tx. strict control DM and HTN early use of ACE, dialysis or transplant |
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macrovascular
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CAD, CVD
PVD risk of stroke MI optrimal control BP< 135/85 LDL< 130, TGL<200 goal of LDL < 100 ( because DM is like CAD) |
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acute metabolic complications
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DKA
and HONC hyperosmolar non ketonic coma |
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diabet nephropat
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