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Diabetes Mellitus

Diabetes Mellitus

Diabetes Mellitus

40
( , )



4kg

-
-

-

-

.

-

-


-
-

-

-

(DM)

126

200

(IGT)

126

140

(IFG)

110

140
( : mg/dl)


200mg/dl

: 126 mg/dl

75g 2
2 200 mg/dl

Hemoglobin A1c

2~3

: 4~6 %

1 4


1) 1 ( )

75%


2) 2 ( )

, ,

: , , , ,

40

70-80%


3) (Gestational diabetes)

24 28 2~4%


1 2

40

40

10%

90%


4) (Impaired glucose tolerance)
(Impaired fasting glucose)

(Impaired glucose tolerance)


- 2 : 140-199 mg/dL

(Impaired fasting glucose)


- : 110-125 mg/dL

: ,
: - , ,

- , ,

, ,

2/3

OP risks

CVA risks

Post op complications

myocardial ischaemia, cerebrovascular infarction and renal


ischaemia
Wound complications
Poor anastomotic healing
type 1 diabetics

Catecholamines, cortisol, GH -> hyperglycaemia


( )

110

80 120

120

100 140

140

180

120/80

130/80
( : mg/dl)

5-10

20

30
~ 1

Daonil, Amaryl,
Diamicron

15

Novonum,
Prandin

, ,

Glucobay,
Basen

Glucophage

Avandia

1

2
, ,
, , ,
,

5 ~ 15

30 ~ 75

3 ~ 5

30 ~40

2 ~ 3

4 ~ 6

1 ~3

4 ~ 10

16 ~ 24

30 ~ 60

2 ~ 12

16 ~ 24

50mg/dL

50~70mg/dL

70~120mg/dL

15

120~180mg/dL

30

180mg/dL

45


: 1~2cm


, ,

: 110 mg/dL

: 90 ~ 130 mg/dL

- X
- IV

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