Long term complications
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Macrovascular diseases | change to medium or large blood vessels; CAD, MI, PVD, MI
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| Microvascular diseases | retinopathy, nephropathy,peripheral neuropathy
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| astherosclerotic changes | causes an increased incidence of occlucisve peripeheral arterial disease
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| retinopathy | leading cause of blindness
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| retinopathy | changes int he small blood vessels in the retina
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| retinopathy | occurs in type 1 and majority of type 2 diabetics
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| retunopathy | may slow the progression by means of controlloing hypertension, control blood glucose and cessation of smoking
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| nephropathy | accounts for 50% of new caes of end stage kidney disease
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| nephropathy | type1 show kidney changes after 10-15 years
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| albumin | important blood proteins that leak into the urine
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| 24 hour urine sample | check urine for microalbuminuria ; should not exceed 30 mg/24 hours on 2 consecutive samples
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| nephropathy | addition of ACE inhibitors, avoid nephrotoxic medication, low protein diet,
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| end stage kidney disease | 2 types of treatments; peritoneal dialysis and hemodialysis
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| peripheral neuropathy | affects distal portions of nerves of the lower extremities
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| peripheral neuropathy | prickling, tingling, burning sensation
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| sudomotor neuropathy | decrease or absence of sweating
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| diabetic neuropathy | only cause of impotence in men with diabetes
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| Amputation | 50-70% are performed on diabetics;50% of these are thought to be preventable
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| Preventive foot care | inspect feet daily, use a mirror to check bottom of feet, wash feet in warm water NOT hot
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