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DM (Pathophysiologie (Insulin :gear: (Wirkung (Effekts (Lipid # (stay in),…

- - - - Proinsulin
        
        C-Peptid
        
        Insulin
    - - Goals :dart:
        
        :arrow_down: Glucose
        
        Glucose in cells
        
        Energie reserve
      - Effekts
        
        CHO #
        
        Lipid #
        
        stay in
        
        Protein
        
        Anablosim
        
        :factory: protein
        
        Elektro
        
        K Into cell
- - - - urie
      - dipsie
    - - lense swell
- - - - 6,5
      - memory of the last 8 weeks
    - - 200
  - - - Micro-Albuminurie
      - Glucose > 150mg/dl in blood
    - - Typ 1 vs. Typ 2
    - - :arrow_down: Typ1
- - - - Except with Alcohol
    - - 1KE = 10 g CHO
        
        30 - 40 mg/dl glucose in blood
  - - - Or Gliflozine (Jardiance)
  - - - 20 basal
      - 20 nahrung
    - - 1 IE for 1 KE
    - - Konventionelle
        
        twice a day. Big meals
        
        Mischinsulin
      - Intensivierte Konventionelle
        
        Konventionelle
        
        @ all meals
        
        Basal
      - Basal ünterstützte Oral Therapie
        
        2 xTablets
        
        Basal
      - Supplementär
        
        Twie a day tablet
        
        Insulin @ all meals
    - - Dawn-phänomen
        
        Typ 1
        
        :sunny:
        
        :arrow_up: GH
        
        :arrow_up: Glucose
        
        Solution
        
        BZ kontrolle :night_with_stars:
        
        :arrow_up: latent insluin :night_with_stars:
      - Somogyi effekt
        
        rare
        
        too high Insulin :night_with_stars:
        
        Postprandial Hyper after breakfast
        
        Solution: :arrow_down: latent Insulin :night_with_stars:
- - - - Hashimoto
      - Gastritis A (autoimmune)
      - Gluten
      - Addison :bulb:
- - - - Aortendissektion
      - Aortenaneurysma
    - - Neuropathie
      - Nephropathie
        
        1/3 patients
        
        GFR increase then decrease
        
        Mikroalbuminurie
      - Retinopathie
        
        Netzhautgefäße
        
        pathologie
        
        non-proliferative
        
        Proliferative
        
        Makulopathie
      - Fuß syndrom
    - - :<3:
      - Fettleber