Diabetic Complications Flashcards
Problem with type 2 diagnosis
Diagnosed after the vascular complications have already arisen
Major complications of diabetes
Stroke
Visual impairment
Heart disease
Kidney disease
Bacterial and fungal infection of the skin
Sexual dysfunction
Level of GFR decides what
Decides how fast complications occur
If diabetes and history of cardiovascular diseases
Use GIP
And SGLT2i analogue
What increases hypoglycaemic risk
Chronic kidney disease
Weight related therapy
Or list at - inhibits the reabsorption of fat
Batriatic surgery - reduces weight 15-25%, short and long term complications
Blood Pressure reduction is good for
Reducing vascular problems
Target 140/80
Or 130/80 if complications
Explain J curve between BP and death in older patients
If BP comes down to q hazard of death also increases so keeping BP at 130 or 140 for older people is better
Screening
Follow up
How often
Every time you see them follow up tests
See them at least a year
MICE care processes
HBA1+
BP
serum cholesterol
Serum creatinine
Urine albumin/ creatinine ratio
BMI
smoking history
Digital retinal screening