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PRACTIACAL (CASE SCE NARIO) : Marks 100 Q) A 57 year old man with type 2 Diabetes, hypertension.Now presents with blood
pressure Of 170/100mmhg? a) Write down the detail of clinical features of diabetes mellitus? Diabetes mellitus refers to a
gaggle of diseases that affect how your body uses blood glucose (glucose). Glucose is vital to your health because it's an
important source of energy for the cells that make up your muscles and tissues. It's also your brain's main source of fuel.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. The
underlying cause of diabetes varies by type. But, regardless of what sort of diabetes you've got , it can cause excess sugar in
your blood. Too much sugar in your blood can cause serious health problems. Chronic diabetes conditions include type 1
diabetes and sort 2 diabetes. Potentially reversible diabetes conditions include prediabetes — when your blood glucose levels
are above normal, but not high enough to be classified as diabetes — and gestational diabetes, which occurs during
pregnancy but may resolve after the baby is delivered. Symptoms Diabetes symptoms vary counting on what proportion your
blood glucose is elevated. Some people, especially those with prediabetes or type 2 diabetes, might not experience symptoms
initially. In type 1 diabetes, symptoms tend to return on quickly and be more severe. Some of the signs and symptoms of type
1 and sort 2 diabetes are: Increased thirst Frequent urination Extreme hunger Unexplained weight loss Presence of ketones
within the urine (ketones are a byproduct of the breakdown of muscle and fat that happens when there's not enough
available insulin) Fatigue Irritability Blurred vision Slow-healing sores Frequent infections, like gums or skin infections and
vaginal infections Type 1 diabetes can develop at any age, though it often appears during childhood or adolescence. Type 2
diabetes, the more common type, can develop at any age, though it's more common in people older than 40. b) Discuss in
detail all the complications that can occur with long standing diabetes mellitus? Complications Long-term complications of
diabetes develop gradually. The longer you've got diabetes — and therefore the less controlled your blood glucose — the
upper the danger of complications. Eventually, diabetes complications could also be disabling or maybe life-threatening.
Possible complications include: Cardiovascular disease. Diabetes dramatically increases the danger of varied cardiovascular
problems, including arteria coronaria disease with pain (angina), attack , stroke and narrowing of arteries (atherosclerosis). If
you've got diabetes, you're more likely to possess heart condition or stroke. Nerve damage (neuropathy). Excess sugar can
injure the walls of the small blood vessels (capillaries) that nourish your nerves, especially in your legs. This can cause tingling,
numbness, burning or pain that sometimes begins at the ideas of the toes or fingers and gradually spreads upward. Left
untreated, you'll lose all sense of feeling within the affected limbs. Damage to the nerves associated with digestion can cause
problems with nausea, vomiting, diarrhea or constipation. For men, it may lead to erectile dysfunction. Kidney damage
(nephropathy). The kidneys contain many tiny vessel clusters (glomeruli) that filter waste from your blood. Diabetes can
damage this delicate filtering system. Severe damage can cause renal failure or irreversible end-stage renal disorder , which
can require dialysis or a kidney transplant. Eye damage (retinopathy). Diabetes can damage the blood vessels of the retina
(diabetic retinopathy), potentially resulting in blindness. Diabetes also increases the danger of other serious vision conditions,
like cataracts and glaucoma. Foot damage. Nerve damage within the feet or poor blood flow to the feet increases the danger
of varied foot complications. Left untreated, cuts and blisters can develop serious infections, which frequently heal poorly.
These infections may ultimately require toe, foot or leg amputation. Skin conditions. Diabetes may leave you more vulnerable
to skin problems, including bacterial and fungal infections. Hearing impairment. Hearing problems are more common in
people with diabetes. Alzheimer's disease. Type 2 diabetes may increase the danger of dementia, like Alzheimer's disease . The
poorer your blood glucose control, the greater the danger appears to be. Although there are theories on how these disorders
could be connected, none has yet been proved. Depression. Depression symptoms are common in people with type 1 and
type 2 diabetes. Depression can affect diabetes management. c) What are the investigations done in a diabetic patient?
type 2 diabetes. Depression can affect diabetes management. c) What are the investigations done in a diabetic patient?
Anyone with a body mass index above 25 (23 for Asian-Americans), no matter age, who has additional risk factors, like high
vital sign , abnormal cholesterol levels, a sedentary lifestyle, a history of polycystic ovary syndrome or heart condition , and
having an in depth relative with diabetes. Anyone older than age 45 is suggested to receive an initial blood glucose screening,
and then, if the results are normal, to be screened every three years thereafter. Any woman who has had gestational diabetes,
is advised to be screened for diabetes every three years. Anyone who has been diagnosed with prediabetes is suggested to be
tested per annum . Tests for type 1 and sort 2 diabetes and prediabetes Glycated hemoglobin (A1C) test. This biopsy , which
does not require fasting, indicates your average blood glucose level for the past two to 3 months. It measures the share of
blood glucose attached to hemoglobin, the oxygen-carrying protein in red blood cells. The higher your blood glucose levels,
the more hemoglobin you will have with sugar attached. An A1C level of 6.5 percent or higher on two separate tests indicates
that you simply have diabetes. An A1C between 5.7 and 6.4 percent indicates prediabetes. Below 5.7 is considered normal.

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adalat sony tv 24th july 2011 como se usa adalat adalat and cidcauses what to do about high blood sugar 5%
over time, too much sugar in your blood can cause serious health problems.
http://bloodsugarpaikota.blogspot.com/2015/02/blood-sugar-problems.html

Diabetes - Symptoms and causes - Mayo Clinic

potentially reversible diabetes conditions include prediabetes — when your blood sugar levels are higher
than normal, but not high enough to be classified as diabetes — and gestational diabetes, which occurs 6%
during pregnancy but may resolve after the baby is delivered.
https://www.mayoclinic.org/diseases-conditions/diabetes/symptoms-causes/syc-20371444

Diabetes Mellitus Final project CassandraCalloway - Diabetes Mellitus...

diabetes symptoms show a discrepancy depending on how a large amount your blood sugar is elevated.
some people, especially those with prediabetes or type 2 diabetes, might not experience symptoms initially. 5%
in type 1 diabetes, symptoms tend to come on quickly and be...
https://www.coursehero.com/file/14439599/Diabetes-Mellitus-Final-project-CassandraCalloway/

Glucose test--Optimum Care Network | Optimum Care Network

some people, especially those with prediabetes or type 2 diabetes, may not experience symptoms initially. in
type 1 diabetes, symptoms tend to come on quickly and be moretype 2 diabetes, the more common type, can 5%
develop at any age, though it’s more common in people older than 40.
https://optimumcarenetwork.com/blood-glucose-test/

These infections may ultimately require toe foot or leg amputation...

diabetes may leave you more susceptible to skin problems, including bacterial and fungal
infections.although a few people with early-stage high blood pressure may have dull headaches, dizzy spells
or a few more nosebleeds than normal, these signs and symptoms usually don't occur... 3%
https://www.coursehero.com/file/p27sa9f/These-infections-may-ultimately-require-toe-foot-or-leg-
amputation-Skin/

Type 2 diabetes - Symptoms and causes - Mayo Clinic

hearing problems are more common in people with diabetes. skin conditions. diabetes may leave you more
susceptible to skin problems, including bacterial and fungal infections. 2%
https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/symptoms-causes/syc-20351193

What are the Tests to identify that i have Diabetes ? - YouTube

2%
https://www.youtube.com/watch?v=lclOAbFSM8E

Any woman who has had gestational diabetes, is advised to be...

anyone who has been diagnosed with prediabetes is advised to be tested every year.if you're at average risk
anyone who has been diagnosed with prediabetes is advised to be tested every year.if you're at average risk
of gestational diabetes, you'll likely have a screening test for gestational diabetes sometime during your 4%
second trimester — typically between 24 and 28 weeks of pregnancy.
https://www.mayoclinic.org/diseases-conditions/diabetes/diagnosis-treatment/drc-20371451