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DM-CONCEPT MAP-Dr.B.Aspiras and Pre-res B. Atienza.pdf
- 1. DIABETES MELLITUS CLASSIFICATION TYPE 1 DIABETES MELLITUS TYPE 2 DIABETES MELLITUS RISK FACTORS Physical inactivity Family history Obesity Ethnicity GDM CVD or hypertension history HDL <35 TAG >250 HbA1c 5.7-6.4% Conditions with insulin resistance COMPLICATIONS ACUTE: DKA AND HHS CHRONIC: Retinopathy, neuropathy, nephropathy CAD, PAD, CVD Gastroparesis, uropathy, dermatologic, cataracts, hearing loss, inc. risk of infection DIAGNOSTICS HbA1C >/- 6.5% FPG >/- 126 2h PPG >/- 200 Symptoms of DM + RBS >/- 200 MANAGEMENT - INSULIN REPLACEMENT 1. Rapid Acting: Aspart 2. Short Acting: Humulin R 3. Intermediate: NPH Humulin 4. Long Acting: Glargine - HYPOGLYCEMIC AGENTS 1. Insulin Secretagogues 2. Biguanides 3. Alpha glucosidase inh. 4. DPP4 Inh. 5. GLP-1 antagonist 6. SGLT2 inh. CLINICAL MANIFESTATION Polyuria Polydipsia Polyphagia Nocturia Weight loss Fatigue Weakness Blurred vision Poor wound healing SCREENING Begin at age 45yo every 3 years Earlier age if BMI >23 + 1 risk factor HbA1C, FPG,2h PPG for screening PATIENT EDUCATION - Lifestyle changes - Increase physical activity - BP monitoring and control - Comprehensive eye examination - Immunization Diabetes Mellitus: Concept Map by: Dr. Bea Eunice Aspiras Pre-res Bernardo Atienza III