_ Diabetes-Dr.-kabsha.pdf

‫ “ؤس‬Insulin inhibits‫‏‬ gluconeogenesis and glycogenolysis, & stimulates glycolysisand glycogenesis,.cabetesnspds 01 reated by vasopresin. antidoe of asopressin 772 < DM: * Two types:...

‫ “ؤس‬Insulin inhibits‫‏‬ gluconeogenesis and glycogenolysis, & stimulates glycolysisand glycogenesis,.cabetesnspds 01 reated by vasopresin. antidoe of asopressin 772 < DM: * Two types: in pancreases that produce insulin. < C-peptide tes t to determine if there still insulin production or not < If there is no sufficient amount of insulin to take glucose inside the cell to produce energy a the body will break the fat to produce ketone body as an alternative source of energy. Insulin -and deficiency, ‎‫ اشن‬sensitivity in body cells risk factor.  https://www.facebook.com/groups/477348776664047/?re f=share Risk factor : 2|Page  ‫عل‬ 065008310 of DM  > 012800515 (Diagnosed ‎‫ آه‬DM): e A1C26.5 « FBG2126 e 2hrPG>200mg/dI Symptoms Medication Classic symptoms of hyperglycemia A -Isulin -sensitizeres Polyuria — polyphagia-poly@ispsid Blurred vision - fatiguéil 1DM — 163 1- Biguanide: e (metformin) 2- Thiazolidinediones: e (pioglitazone,Rosiglit azone) 3- Dual PPar agonist * (saroglitazar) B-Insulin secretagogues 1- Sulfonylurea 2- Meglitinides 4),  «»Complication : |Microvascular 1) Disease | * Retinopathy (most common) e Diabetic kidney disease ( renopathy) o Peripheral neuropathy (Increase risk for foot infections and amputations) 7 e Autonomic neuropathy (erectile dysfunction, gastroparesis, loss of bladder control / UTIs) Type of diabetes | Recommended time of | Routine minimum first examination follow up Type 1 Within 3-5 years after | Yearly 0200055790] diabetes once patient is aged ten years or older Type 2 At diagnosis Yearly Pregnancy in Prior_to conception and | As needed during pre-existing during early 1% trimester | pregnancy diabetes mellitus depending on results of first trimester examination « Coronary artery disease (e.g., Ml, stable angina) « Cerebrovascular disease (e.g., TIA/stroke) « Peripheral artery.disease S|Page  80 y €GFR