DIABETES MELLITUS (2)

DIABETES MELLITUS (2)

Chronic complications

NEUROPATHY

NEPHROPATHY

RETINOPATHY

Acute Complications

Hyperosmolar Non-Ketotic Coma (HONK)

Diabetic KETOACIDOSIS

HYPERglycaemia

HYPOglycaemia

Cognitive decline < 2mmols

Blood sugar < 4 mmols

CAUSES:

2 little food

Alcohol

Exercise

2 much medication

Metabolic syndrome

Glucose

Hyperinsulinaemia

Insulin resistance

Glucose intolerance

Decreased HDL (High Density Lipoprotein = GOOD cholesterol)

Increased VLDL, LDL & TRIGLYCERIDES

Blood pressure

High BP

Targets

HbA1c < 7%

Cholesterol

Triglyceride = 2.3 mmol

LDL = 2.5 mmol

TOTAL = 5 mmol

BP 140/80

If microALBUMINurea: BP 130/75