Flashcards in Complications of diabetes Deck (25):
What are the risk factor for developing diabetic neuropathy?
Length of disease
poor glycaemic control
What are the symptoms of peripheral neuropathy?
Sensitivity to touch
Loss of balance/coordination
What are the complications of peripheral neuropathy?
charcot foot (midfoot collapse)
What happens in focal neuropathy?
sudden weakness in one nerve
What can be a sign/symptom of focal neuropathy?
What happens in proximal neuropathy?
pain in leg/buttocks etc
Muscle weakness in thigh
What is amyotrophy?
assymmetrical muscle weakness
How does autonomic neuropathy present in sweat glands?
inability to control body temperature
How does autonomic neuropathy present in GI system?
What is the treatment for gastropaesis?
What are the symptoms of gastroparesis?
vomiting after meal
How does gastroparesis affect blood glucose?
Fluctuating blood glucose
How does autonomic neuropathy present in CVS?
prolonged tachycardia after physiological response
What is the name for diabetic nephropathy?
Kimelsteil Wilson Syndrome
What happens histologically in Kimelsteil Wilson Syndrome?
Angiopathy of capillaries
What are the consequences of diabetic nephropathy?
Reduced GFR if untreated
Accelerated vascular disease
What is the target blood pressure in diabetic patients?
What is the first line drug when treating hypertension in diabetics?
work on RAAS
What screening tests can be done for diabetic nephropathy?
Urinary ACR (ablumin:creatinine ratio)
Dipstick for proteinuria
Annual screening on over 12year olds
What are the normal ACR values for a) males b) females?
What needs to be done if microalbuminuria is found?
screen for retinopathy
screen for IHD/PVD
look for other renal causes
screen for hypertension
tighten glycaemic control
moniter serum creatinine
What levels of albumina consitiute a) microalbuminuria and b) macroalbuminuria
a) 30-300 mg
b) >300 mg
What are the macrovascular complications of diabetes?
What are the microvascular complications of diabetes?