DIABETES MELLITUS

DIABETES MELLITUS
,:
.1 .

Diabetes Mellitus type I

.2 .
Diabetes Mellitus type II

"

.
Type one Insulin Dependent Diabetes : IDDM
Mellitus
Type two Non Insulin Dependent :NIDDM
Diabetes Mellitus

.

. .

Pancreas -

:

6%- .
" 10% . type 1
type 1- .30
type 2- .
.15%-
70 .

) (pancreas
3- . .
.

.
.140-120

.LANGERHANS . :
,
) ( , ,
.

 ?
Type 1

?
: Type 2

,
- .


.
(ketone) .ACIDOSIS -
(DKA) diabetic ketoacidosis
.

:

. .
.
. /
) 180-160
mg/dll ( , = HHNS
Hyperosmolar Nonketotic Syndrome
Hyperosmular Diabetic
coma
,
" DKA -!

:
,
.
-
, , / ,
.
: ,
.
- , .
: .
- )
(.

:
.
- / , ,
.
SILENT MI

. :
.1.
.2 +.
.3 +.
-------------- ----------------------------------------------------------------

.
----------------------------------------------------------------------

) !(

:
DKA.1
Non Ketotic Hyperosmolar State.2

.50-60mg/dL -
, , .
: , , ,

 -DKA ?

DKA
).(>12


.
!

!
) Lipolysis - (.
- , H+ ,

-DKA

.
.
,
, !!

-DKA

: , ,
, ,

-DKA

) -\(
Kussmaul

)(
)(

Non Ketotic Hyperosmolar Syndrome

DKA

ABC
-
-
, ,
Dextrose 25% ) .(Trial
.

) (

,
.

Non Ketotic Hyperosmolar state

Non Ketotic Hyperosmolar state

ABC
-
\ -
,
, Dextrose 25%
) .(Trial .

Hypoglycemia

Hypoglycemia

.

.
.

.
?

:

, , , ,

.
) !!!!(
.

Hypoglycemia

ABC

25% 25 .

.
.