Complications of diabetes

Complications may occur in both type I and type II diabetes even with early diagnosis and treatment (Fig 17.3). Insulin dependent diabetics still have a significantly reduced life expectancy. The main causes of death are diabetic nephropathy and vascular disease (myocardial infarction and stroke). Diabetes causes both macrovascular and microvascular complications but microvascular disease is specific to diabetes. Complications are illustrated in Figure 17.3 . Special attention should be paid to the 'deadly quartet' associated with type II diabetes.

General hypoglycemia hyperglycaemia/

«.¿luatidosis d yslipidac-mia

Blood pressure effects postural hypotension hypertension per pie ra I ne rvc palsies small muscle wasting

General hypoglycemia hyperglycaemia/

«.¿luatidosis d yslipidac-mia

Blood pressure effects postural hypotension hypertension per pie ra I ne rvc palsies small muscle wasting

Peripheral [poly) neuropathy paresthesia muscle weakness ■

CVA (increased)

Eyes cataract retinopathy ocl ar palsies ^ LUr VI ierres

Heart acce erated athenoscleros s myocardial infarction (may be silent) vagal neuropathy—arrhythmias

Genitourinary

Irnpoterce aton c bladder amyotrophy (paiiÍL I wastirg)

Peripheral vascular disease nacrovaseL ar microvascular k:-.vv gangrene file:///C|/McGraw-Hill/gpseries/html/New%20Folder/GP-C17.htm (12 of 17)31/07/2006 12:21:59 AM

SMn candidiasis

* vulvo^agiriLis staphylococcal Infections rec-otlosls lipoidica

Peripheral [poly) neuropathy paresthesia muscle weakness ■

CVA (increased)

Eyes cataract retinopathy ocl ar palsies ^ LUr VI ierres

Heart acce erated athenoscleros s myocardial infarction (may be silent) vagal neuropathy—arrhythmias

Renal diabetic nephropathy unnary nfectlon

Gastrointestinal astro pa res s iarrhoea

Genitourinary

Irnpoterce aton c bladder amyotrophy (paiiÍL I wastirg)

Peripheral vascular disease nacrovaseL ar microvascular

Feet problems ischacTia [rest pair) ulcers k:-.vv gangrene file:///C|/McGraw-Hill/gpseries/html/New%20Folder/GP-C17.htm (12 of 17)31/07/2006 12:21:59 AM

ulcers gang rere

paresthesia muscle weakness reduced reflexes + paii

Fig. 17.3 The complications of diabetes

Diabetes Sustenance

Diabetes Sustenance

Get All The Support And Guidance You Need To Be A Success At Dealing With Diabetes The Healthy Way. This Book Is One Of The Most Valuable Resources In The World When It Comes To Learning How Nutritional Supplements Can Control Sugar Levels.

Get My Free Ebook


Post a comment