Diabetes - Microcytic complications

Question 1

Name the microcytic complications in the eye

Answer 1

1. Diabetic retinopathy
2. Diabetic maculopathy
3. Cateracts
4. Glaucoma

Question 2

Name the renal microcytic complications

Answer 2

1. Diabetic nephropahty

Question 3

how does diabetic nephropathy occur?

Answer 3

1. Glucose damages the basement membrane
2. Insulin causes efferent constriction
   3, increase in mesangial cells

This leads to glomeruloscleosis and microalbuminemia in the urine

Question 4

what is the treatment of diabetic nephropathy

Answer 4

as soon as microalbuminemia is detected give an ACEi

Question 5

What are the neurological microcytic complications

Answer 5

1. Sensorymotor neuropathy
2. Acute painful neuropathy
3. Diabetic amytropy
4. Multineuritis multiplex
5. Autonomic neuropathy

Question 6

What is sensorimotor neuropathy

Answer 6

this is when you loose the sensation of temperature, vibration and pain. (deep sensation is lost first)

Question 7

What is acute painful neuropathy?

Answer 7

this is a burning pain in the shins of diabetics

Question 8

What is multi neuritis multiplex

Answer 8

this is CNS 6 & 3 damage + sciatic nerve damage (foot drop)

Question 9

what is autonomic neuropathy

Answer 9

this is loss of sweating, postural hypotension, gastroparsesis, diahorrea, bladder dysfunction, erectile dysfunction

Question 10

what is diabetic amyotrophy

Answer 10

this is painful wasting of the quadriceps

Question 11

how do you treat diabetic amyotrophy

Answer 11

IV immunoglobulins