Related Subjects: Type 1 DM
|
Type 2 DM
|
Diabetes in Pregnancy
|
HbA1c
|
Diabetic Ketoacidosis (DKA) Adults
|
Hyperglycaemic Hyperosmolar State (HHS)
|
Diabetic Nephropathy
|
Diabetic Retinopathy
|
Diabetic Neuropathy
|
Diabetic Amyotrophy
|
Maturity Onset Diabetes of the Young (MODY)
|
Diabetes: Complications
|
Diabetic complications seen with Type 1 and 2
- Acute Issues
- Diabetic Ketoacidosis (Type 1)
- Hyperglycaemic Hyperosmolar State (HHS) (Type 2)
- Hypoglycaemia
- Ophthalmological
- Cataract x2-5 population
- Non-Proliferative Retinopathy
- Proliferative Retinopathy: more advanced stage where the retina is deprived of oxygen and new, fragile blood vessels can begin to grow in the retina. The new blood vessels may leak blood thus clouding vision. May lead to retinal detachment.
- Macular oedema: is swelling in an area of the retina called the macula responsible for our colour vision and fine detail vision.
Leads to loss of acuity and partial vision loss or blindness. Usually seen in those with signs of diabetic retinopathy.
- Rubeosis of the Iris
- Glaucoma: damage to optic nerve. Incidence x 2
- Renal /Nephropathy
- Proteinuria
- End stage renal failure
- Type IV Renal tubular acidosis
- Neurological
- Distal symmetrical polyneuropathy
- Polyradiculopathy
- Mononeuropathy
- Autonomic neuropathy
- Diabetic amyotrophy
- Gastrointestinal
- Gastroparesis
- Fatty liver
- Diarrhoea
- Constipation
- Genitourinary
- Cystopathy
- Erectile dysfunction
- Female sexual dysfunction
- Genital/Vaginal candida
- Cardiovascular
- Ischaemic heart disease
- Heart failure (Often HFpEF)
- Peripheral vascular disease
- Stroke
- Lower limb
- Deformity - hammer toe, claw toe
- Charcot joint
- Ulceration
- Peripheral vascular disease
- Amputation
- Dermatology
- Cellulitis
- Furunculosis
- Folliculitis
- Ulcers
- Necrobiosis
- Acanthosis Nigricans
- Digital Sclerosis: Stiffening of the finger joints. Thick, waxy, tight skin on the back of hands, toes, and fingers
- Eruptive Xanthomatosis
- Fungal infections: itchy red rashes often surrounded by tiny blisters and scales. Warm, moist folds on the skin. Intertrigo, athlete's foot, ringworm, and vaginal infections
- Dental
- Gum disease
- Periodontal disease
- Candida
- Psychological
- Depression, Anxiety, Anger
- Behavioural changes
- Treatment
- Hypoglycaemia with Insulin and Sulphonylureas
- Side effects - Metformin and GI disturbance