Difference between revisions of "Diabetes mellitus"
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*Major cardiovascular risk factor. | *Major cardiovascular risk factor. | ||
*Many subtypes. | *Many subtypes. | ||
**Most common type 2 | **Most common: DM type 2 -- strongly assoc. with obesity. | ||
==Diagnosis== | ==Diagnosis== | ||
| Line 13: | Line 13: | ||
==Classic complications== | ==Classic complications== | ||
Family medicine - mnemonic ''HELP'': | Family medicine - mnemonic ''HELP'': | ||
*H - HbA1c, | *H - HbA1c, [[Hypertension]]. | ||
*E - eye. | *E - [[eye]]. | ||
*L - lipids. | *L - lipids. | ||
*P - podiatry, proteinuria, Pneumococcus vaccine. | *P - podiatry, proteinuria, Pneumococcus vaccine. | ||
| Line 20: | Line 20: | ||
==Emergency room presentations== | ==Emergency room presentations== | ||
*[[Ketoacidosis]] - DM type 1. | *[[Ketoacidosis]] - DM type 1. | ||
*HONK - DM type 2. | *Hyperosmotic non-ketotic (HONK) coma - DM type 2. | ||
=Subspecialty specific findings= | =Subspecialty specific findings= | ||
Revision as of 04:34, 21 November 2011
Diabetes mellitus, often (less precisely) just diabetes, is a common affliction that is increasing the expanding waistlines. It is commonly abbreviated DM.
General
- Major cardiovascular risk factor.
- Many subtypes.
- Most common: DM type 2 -- strongly assoc. with obesity.
Diagnosis
Based on biochemistry, specifically:
- Fasting blood glucose >=7.0 mmol/L.
- Two-hour glucose tolerance test >=11.1 mmol/L.
Classic complications
Family medicine - mnemonic HELP:
- H - HbA1c, Hypertension.
- E - eye.
- L - lipids.
- P - podiatry, proteinuria, Pneumococcus vaccine.
Emergency room presentations
- Ketoacidosis - DM type 1.
- Hyperosmotic non-ketotic (HONK) coma - DM type 2.
Subspecialty specific findings
Dermatopathology
Other:
Gastrointestinal pathology
- Microscopic colitis - generally assoc. with autoimmune disorders.
- Pancreatic amyloid deposition - in DM type 2.[1]
- Centrilobular macrovescicular steatosis of the liver.
Breast pathology
Genitourinary pathology
Placental pathology
- Placental villous immaturity.
- Chorangiosis.[2]
- Two-vessel cord.[3]
Cardiovascular pathology
- Atherosclerosis.
- Arterial hyaline - in both afferent and efferent arteriole of the kidney.
Neuropathology
- Idiopathic inflammatory myositis.[4]
References
- ↑ URL: http://www.umm.edu/altmed/articles/amyloidosis-000007.htm. Accessed on: 23 October 2010.
- ↑ Amer HZ, Heller DS (2010). "Chorangioma and related vascular lesions of the placenta--a review". Fetal Pediatr Pathol 29 (4): 199–206. doi:10.3109/15513815.2010.487009. PMID 20594143.
- ↑ Lilja M (July 1994). "Infants with single umbilical artery studied in a national registry. 3: A case control study of risk factors". Paediatr Perinat Epidemiol 8 (3): 325–33. PMID 7997408.
- ↑ Limaye VS, Lester S, Blumbergs P, Roberts-Thomson PJ (May 2010). "Idiopathic inflammatory myositis is associated with a high incidence of hypertension and diabetes mellitus". Int J Rheum Dis 13 (2): 132–7. doi:10.1111/j.1756-185X.2010.01470.x. PMID 20536597.