DIABETES MELLITUS (2)
Targets
BP 140/80
If microALBUMINurea: BP 130/75
Cholesterol
TOTAL = 5 mmol
LDL = 2.5 mmol
Triglyceride = 2.3 mmol
HbA1c < 7%
Metabolic syndrome
Blood pressure
High BP
Cholesterol
Increased VLDL, LDL & TRIGLYCERIDES
Decreased HDL (High Density Lipoprotein = GOOD cholesterol)
Glucose
Glucose intolerance
Insulin resistance
Hyperinsulinaemia
Acute Complications
HYPOglycaemia
CAUSES:
2 much medication
Exercise
Alcohol
2 little food
Blood sugar < 4 mmols
Cognitive decline < 2mmols
HYPERglycaemia
Diabetic KETOACIDOSIS
Hyperosmolar Non-Ketotic Coma (HONK)
Chronic complications
RETINOPATHY
NEPHROPATHY
NEUROPATHY