1 / 30

Common Complications in Diabetes

Common Complications in Diabetes. March 9, 2011 Kevin Wang. Let’s Make a List!. DynaMed & UpToDate Have …. Macrovascular Coronary Artery Disease Cerebrovascular Disease Peripheral Arterial Disease Infection Depression Dysautonomia Erectile Dysfunction Microvascular Neuropathy

russ
Télécharger la présentation

Common Complications in Diabetes

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Common Complications in Diabetes March 9, 2011 Kevin Wang

  2. Let’s Make a List!

  3. DynaMed & UpToDate Have … • Macrovascular • Coronary Artery Disease • Cerebrovascular Disease • Peripheral Arterial Disease • Infection • Depression • Dysautonomia • Erectile Dysfunction • Microvascular • Neuropathy • Nephropathy • Retinopathy • Hypoglycemia • DKA/HNK • Impaired Wound Healing • Periodontitis

  4. Objectives • Discuss the common complications associated with diabetes • Discuss preventative measures to decrease the risk of developing these complications

  5. Macrovascular Complications • Coronary Artery Disease • DM as a CAD Equivalent

  6. Macrovascular Complications (Cont.) • Cerebrovascular Disease

  7. Macrovascular Complications (Cont.) • Peripheral Vascular Disease

  8. Risk Reduction • Diet • Smoking • HTN • Dyslipidemia • Physical Inactivity

  9. Risk Reduction (Cont.) • Aspirin • Primary Prevention (Grade C) • Secondary Prevention (Grade A)

  10. Glycemic Control in CAD/CVA • Intensive Therapy • ACCORD: Action to Control Cardiovascular Risk in DM • ADVANCE: Action in DM and Vascular Disease • VACSDM/VADT: Veterans Affairs Cooperative Study of DM • UKPDS: UK Prospective DM Study

  11. Screening for CAD in DM Patients • 2006 ADA Recommendations • 2002 ACC/AHA Recommendations

  12. Screening for PAD • Trans-Atlantic Inter-Society Consensus Document on Management of Peripheral Arterial Disease • ACC/AHA • American College of Physicians • USPSTF

  13. Overview of Prevention for Macrovascular Complications in DM It’s Multifactorial!

  14. Microvascular Complications • Diabetic Retinopathy

  15. Measures to Reduce Risk and Progression of DR • ACCORD Eye Trial • Glycemic Control • Antihypertensive Therapy • Lipid Lowering Therapy • Antiplatelet Agents

  16. Screening for DR

  17. Microvascular Complications (Cont.) • Diabetic Nephropathy

  18. Treatment of Diabetic Nephropathy • Glycemic Control • BP Control • ACEI/ARB • CCB • Protein Restriction

  19. Screening for Diabetic Nephropathy • Urine Albumin Concentration • Urine Albumin-to-Creatinine Ratio • Timing

  20. Microvascular Complications (Cont.) • Diabetic Neuropathy

  21. Prevention of Diabetic Neuropathy • Glycemic Control

  22. Treatment of Diabetic Neuropathy • First Line Treatment • Second Line Treatment • Third Line Treatment • Adjunct Treatment • Complementary Treatment

  23. Screening for Neuropathy

  24. Diabetic Foot Ulcers

  25. Foot Care

  26. Foot Ulcer Management

  27. Dental Screening

  28. Depression • Just a reminder … • www.meetup.com/seattle-social-diabetics • www.defeatdiabetes.org

  29. Prevention of DM • Moderate Weight Loss of At Least 7% • Regular Physical Activity – 150 min/week (Level B) • Medical Nutrition Therapy (Level B) • Increase Fiber Intake (14 gm/day) • Decrease Saturated Fat Intake < 7% of Total Calories (Level B) • Reduction in Trans Fat Intake (Level B)

  30. Thank You!

More Related