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diabetes
Long term complications
Question | Answer |
---|---|
Macrovascular diseases | change to medium or large blood vessels; CAD, MI, PVD, MI |
Microvascular diseases | retinopathy, nephropathy,peripheral neuropathy |
astherosclerotic changes | causes an increased incidence of occlucisve peripeheral arterial disease |
retinopathy | leading cause of blindness |
retinopathy | changes int he small blood vessels in the retina |
retinopathy | occurs in type 1 and majority of type 2 diabetics |
retunopathy | may slow the progression by means of controlloing hypertension, control blood glucose and cessation of smoking |
nephropathy | accounts for 50% of new caes of end stage kidney disease |
nephropathy | type1 show kidney changes after 10-15 years |
albumin | important blood proteins that leak into the urine |
24 hour urine sample | check urine for microalbuminuria ; should not exceed 30 mg/24 hours on 2 consecutive samples |
nephropathy | addition of ACE inhibitors, avoid nephrotoxic medication, low protein diet, |
end stage kidney disease | 2 types of treatments; peritoneal dialysis and hemodialysis |
peripheral neuropathy | affects distal portions of nerves of the lower extremities |
peripheral neuropathy | prickling, tingling, burning sensation |
sudomotor neuropathy | decrease or absence of sweating |
diabetic neuropathy | only cause of impotence in men with diabetes |
Amputation | 50-70% are performed on diabetics;50% of these are thought to be preventable |
Preventive foot care | inspect feet daily, use a mirror to check bottom of feet, wash feet in warm water NOT hot |