View stunning SlideShares in full-screen with the new iOS app!Introducing SlideShare for AndroidExplore all your favorite topics in the SlideShare appGet the SlideShare app to Save for Later — even offline
View stunning SlideShares in full-screen with the new Android app!View stunning SlideShares in full-screen with the new iOS app!
Diabetes Update NOSSCR Fall 2011 Social Security Disability Law Conference San Antonio, Texas Suzanne Villalón-Hinojosa, Esq. 1-800-481-0302 [email_address] Dr. Melissa Kempf, MD 210-491-1509 [email_address]
A1C 6.5%. The test should be performed in a laboratory using a method that is NGSP certified and standardized to the DCCT assay. or
FPG 126 mg/dl (7.0 mmol/l). Fasting is defined as no caloric intake for at least 8 h.* or
2-h plasma glucose 200 mg/dl (11.1 mmol/l) during an OGTT. The test should be performed as described by the World Health Organization, using a glucose load containing the equivalent of 75 ganhydrous glucose dissolved in water.*
In a patient with classic symptoms of hyperglycemia or hyperglycemic crisis, a random plasma glucose 200 mg/dl (11.1 mmol/l)
“ Standards of Medical Care in Diabetes-2011” by ADA, DIABETES CARE , VOLUME 34, SUPPLEMENT 1, JANUARY 2011
pain or loss of feeling in the toes, feet, legs, hands, and arms.
changes in digestion, bowel and bladder function, sexual response, and perspiration. It can also affect the nerves that serve the heart and control blood pressure, as well as nerves in the lungs and eyes. Autonomic neuropathy can also cause hypoglycemia unawareness, a condition in which people no longer experience the warning symptoms of low blood glucose levels.
pain in the thighs, hips, or buttocks and leads to weakness in the legs.
Sudden muscle weakness or pain one nerve or group of nerves (Bells palsy, chest pain can be mistaken for heart attack).
About 60 to 70 percent of people with diabetes have some form of neuropathy http://diabetes.niddk.nih.gov/DM/pubs/neuropathies/