Please enable JavaScript.
Coggle requires JavaScript to display documents.
REGUB Medicine: T2DM (i) (Intro (vasc disease (60-80% die from MI/CVA, tx…
REGUB Medicine: T2DM (i)
Dx
random glucose >/= 11.1mmol/l with osmotic symptoms (weight loss, polyuria, polydypsia)
-
-
-
-
-
Intro
-
-
prevention = diet, exercise, caloric restriction (life style interventions more effective than Metformin for reducing DM incidence)
-
-
-
-
-
earliest detectable lesion = insulin resistant (initially increased insulin secretion compensates for this defect)
-
-
-
-
Weightloss procedures
laparoscopic adjustable gastric band, a/w comps...
-
-
-
-
-
-
-
-
-
-
Diabetic retinopathy
-
-
category 3 (severe non-prolif): exudate, starting to form new vessels
-
Tx
glycaemic control
-
-
reduces risk of microvasc disease, albuminuria, MI, cataracts, retinopathy
-
-
dual tx if needed - add another drug (sulfonylureas, TZDs, DPP4i, SGLT2i, GLP1-RA, basal insulin)
-
-
-
-
-
education: diet, exercise
-