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Flashcards in Diabetes complications Deck (20):
1

what are the main 3 microvascular complications?

neuropathy
nephropathy
retinopathy

2

what are the 4 types of neuropathy?

peripheral

autonomic

proximal

focal

3

what is peripheral neuropathy?

peripheral nerve damage

usually pain/loss of feeling in hands and feet

4

symptoms of peripheral neuropathy?

numbness
loss of feeling
tingling/burning
sharp pains or cramps
sensitive to touch
loss of balance and coordination

5

what is autonomic neuropathy?

changes in bowel habit, bladder function, sexual response, sweating, heart rate BP, hypoglycaemic unawareness

6

what is gustatory sweating

sweating after just eaten

7

what is proximal neuropathy?

wasting of muscles/ pain in thighs, hips or buttocks leading to weakness in legs

8

what is focal neuropathy?

sudden weakness in 1 nerve group or in 1 nerve causing muscle weakness or pain e.g carpal tunnel

9

diabetic with hot red swollen foot

charcot

10

what is charcots foot

collapse of mid foot

it is a inflammatory problem

11

consequences of diabetic nephropathy?

get high blood pressure

decline in renal function

accelerated vascular disease

12

what do you use to screen for diabetic kidney disease?

albumin creatinine ratio

13

false positives for microalbuminuria?

menstruation
vaginal discharge
UTI
pregnancy
other illnesses

14

what treatment should we consider for people with microalbuminuria/proteinuria?

ACE inhibitors! or ARBs

15

what eye pathologies do people with diabetes get?

diabetic retinoptahy
cataract-clouding of the lens
glaucoma- increase in fluid pressure in eye leading to optic nerve damage

acute hyperglycaemia-visual blurring

16

which part of the back of the eye is of most concern?

macula

17

optical coherence tomography measures what?

oedema in back of eye

18

what other complication can occur in about 50% of diabetic men?

erectile dysfunction

19

name some macrovascular complications/

stroke
MI
etc

20

name some psychiatric complications?

depression
eating disorders
bi-polar
schizophrenia