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Diabetes Mellitus and Diabetic Complications (Diabetes (Complication…
Diabetes Mellitus and
Diabetic Complications
Diabetes
background
Homeostasis
Maintaining stable inner environment requires
Detection of change by sensor
Processing in control center
Reaction by effctor
Homeostasis is dynamic, never ends
Endocrine System
A system of ductless glands
Exocrine
Through ducts to exterior of body
Endocrine
Ductless, directly into blood vessel
Diabetes mellitus
lack of hormone insulin
Diagnostic critiria
random plasma glucose 11.1 mmol/L
Fasting plasma glucose > 7.0 mmo/L
Plasma glucose > 11.1 mmol/L
HbA1c > 6.5%
Fasting glucose from 6.1 to 7.0 mmol/L
Blood glucose from 7.8 to <11.1 mmol/L OGTT
Normal:
Fasting glucose < 6.1 mmol/L
Blood glucose < 7.8 mmol/L OGTT
Types
Type 1
Type 2
Gestational diabetes
Impaired Glucose Tolerance
Treatmentm of type 1 diabetes
Insulin injection
Chinese Medicine
Complication
Diabetic retinopathy 糖尿病視網膜病變
Diabetic nephropathy 糖尿腎病
Diabetic neuropathy 糖尿神經病變
Diabetic vasculopathy 糖尿血管病變