Long term DM complications Flashcards
1
Q
Ophthalmologic
A
- Cataracts (early onset)
- Retinopathy
- Macular edema
- Glaucoma- 6%
2
Q
Renal- Nephropahty
A
1/3 pts with ESRD
- Type 1 more likely but Type 2 more prevalent
- Proteinuria
3
Q
Ophthalmologic- Nonproliferative retinopathy
A
- earliest stage of retinal involvement
- 60% within 16 yrs
- exudates, dot hemorrhages, retinal edema, macular edema
4
Q
Ophthalmologic- Proliferative retinopathy
A
- Type 1
- Within 7-10 years
- New capillaries & fiberous tissue in retina and vitreous
5
Q
Neural- Peripheral neuropathy
A
- Most common complication
- Stocking & glove loss of function
- Bilateral, symmetric
- Burning pain
- Ulcerations
- Charcot arthropathy
- Therapeutic footware & checks key
6
Q
Neural- Autonomic neuropathy
A
- Long term DM
- BP, pulse
- GI, bladder & erectile dysfunction
7
Q
CV- Heart disease
A
- Coronary arthrosclerosis
- MI 3-5x more likely
- Due to hyperlipidemai, hyperglycemia & coagulation
- Lower BP & give aspirin
8
Q
CV- PVD
A
- Atherosclerosis
- Ischemia of lower extremities, ED & angina
- Gangrene of foot: 30x higher
- Absence of pedal pulses
9
Q
Derm
A
- Chronic pyogenic infections- candida
- Vulvovaginitis
- Eruptive cutaneous xanthomas
- Necrobiosis lipodica dibeticorum- legs & ankles
10
Q
Musculoskeletal
A
- Progressive stiffness of hand
- Contracture of hands
- Frozen shoulder (adhesive capsulitis)
- Carpal tunnel
- Dupuytren contractures
- Due to glycolization of collagen
- Ossification of ligaments
- Gout
- Bursitis
