diabetics mellitus
DESCRIPTION
Diabetics mellitusbasic concept of DMTRANSCRIPT
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0Diabetes Mellitus
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Diabetes Mellitus
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, Diabetes Mellitus
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40 (, ) 4kg
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- - - - - - . -
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- - - - - -
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,
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( : mg/dl)
2 (DM)126 200 (IGT)126 140 (IFG)110 140
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200mg/dl
: 126 mg/dl
75g 2 2 200 mg/dl !
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Hemoglobin A1c 2~3
: 4~6 %
1 4
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1) 1 ( ) 75%
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2) 2 ( ) 1 , , : , , , , 40 70-80%
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3) (Gestational diabetes) 6 24 28 2~4%
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1 2
1 2 40 40 . 10% 90%
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4) (Impaired glucose tolerance) (Impaired fasting glucose)
(Impaired glucose tolerance) - 2 : 140-199 mg/dL(Impaired fasting glucose) - : 110-125 mg/dL
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: , : - , , - , ,
, ,
2/3
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CVA risksmyocardial ischaemia, cerebrovascular infarction and renal ischaemiaPost op complications Wound complicationsPoor anastomotic healingtype 1 diabetics Catecholamines, cortisol, GH -> hyperglycaemia
OP risks
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( )
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( : mg/dl)
110 80 120 120 100 140 140 180 120/80130/80
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,
5-10
20
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30~ 1Daonil, Amaryl, Diamicron 15Novonum, Prandin , , Glucobay,Basen Glucophage , Avandia
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1 2 , , , , , ,
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5 ~ 1530 ~ 753 ~ 530 ~402 ~ 34 ~ 61 ~34 ~ 1016 ~ 2430 ~ 602 ~ 1216 ~ 24
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50mg/dL 50~70mg/dL 70~120mg/dL 15 120~180mg/dL 30 180mg/dL 45
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: 1~2cm , ,
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: 110 mg/dL
: 90 ~ 130 mg/dL
:
- X - IV
* .** 90~95% 2 , . . * . : . , , , , .
: 2 . .
, : 2 . : 2 .
: 2 40~60%.* 2 . , , . - , - , , ,
*
*- ** 5% , 30 * 90% , 30 ***
( ) - : , , , diazoxide, indomethacin,, , , - (DM) : , - : phenothiazine, acetazolamide
( ) - : , , , clofibrate - : , , phenylbutazone,sulfonamide, allopurinol - : , , , , guanethidine* 8~11%, 180~250mg/dL, 250~350mg/dL . 45~50mg/dL, 0.9~1.4% .*, , , , * semilente, , , , - iv 10~30
nph, - 4~10
ultralente 1 1 2
- * 45 * , *