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    © All Rights Reserved
    Download as PDF or read online from Scribd
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    5 views7 pages

    D. M

    Uploaded by

    Mai Gaber

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 7
    3/DI4.-B_o (CTT BN Steroid (ayer AG lucie Sil: SDH > ma ———— I ‘ = Chroni. TSS cereectay See “4 Y eType 4 + in children 1 'Young age |Nsulin Dependant (LODE) me sk tikely clue ynune d¥- = | eTyPeTL = i» eldery + Non Insulive dependaxte NISDM Some tines type 1 Come in _adull- called IABE ' —Clatert Autoimmune tabdis of Adui})~ | at Re problem. ie Type TT ig resistern| be mnsutinn. | yee st (eve Some fackor Provete resistank GSS s- \- obesity Cnain vis Fachor) espically trun keal ebesity (Cenbial) | 2- FHx 5. Pregnancy. (osbriogen progesks J4PL) . %& Symplem of Type 1 is more Classica) Kan fT 2 = = Polyuria (Osmobia duresis) = poly ersten. s =noclurio_ =Polyphagia ano Mloss. > Type 1 Complicared_To DKA, cama (die hypo echyes, % S¥mpbox oP Type IL not classices| 2 : vy - Fatigue & exercise toleran bas . = Seco Dry} ror mo é = due effeck of dx. as Cushivy sind - “4 ons w drug as sheroids- S ee lumor = as lung cancer -( peepee sung cusce’ > = Glucagonoma = ever Produce glucagon y2ancreatihic = ca head of pancrease 8 ~ Heaemy Chrumahosj, Cause byon apse é - mébabolic S¥ndrom iS ComDinaln of (DM, HIN, obesi pie a Scanned by CamScanner 2 2 —— + Syaebl >>| ¥ Diagnosis ef DM= 4—winalvss for aceton ( 2 cross or move=ace oyu) microd)|buminuyie { Fealure of Diabetic Nephopdiny = 20-3 a UT 2 is Very Common 1m M- ” Ze Riood best: (RBG 200 +sympt) = DM (normal Bee up l4o\s (ERG y12b +3ymp)eN4_—_(Mormal Fashng UP Too Io). # Me Rest cagnestie test 7s By WHO crfteri = OGTT (eral Gluccse Tolerance test). ip Eashing > 2 mmoff _( 126) ae ~ gfe 25% Glucose “fle, 2 hy IL =) mmotsb | ¢zoo) Im Pair QT T-mean pl Glucose between . normal $€1yo) % tbnormal (>200) = | Ko Jub Mey have rise T develop \yry. like medhfical.. monitoring fy Mo z is by meusuye very duy _b lucomeler | 2 Nery 3 monk H Are (nerme| £6 +6). ery 2 wies by proper cle] Fruchusamine | 2, lipid jorePile . KU inital Presentef- z— ~ AsyrpPhomehe _ = Classical sfrmyrt_o F_ Sy. type! =Nen specifie fecluve tdpPe_y 2 ye ere wim acul er Cheonre compliant. 1 Dk, Cnet edd Thad of ee Scanned by CamScanner J-miss ing close = 2- infections - 3. _Slress (MI) 4+ TdiopaMHe. aceton smelt. RP aa am a ey ay chee bet = presen bee fetid 2 ________—eerss} Breck -dehydrated » : slow pdeep breaT (wash 4) ‘i = paruly bie ilus (VK') > colsck eubd- pai, fomitiny So.-- pt Sy 27 | Cie Tieioe-ut oe nea & & Fhails iho | 24 | bbe lo Lb im ee his (alepend on sevivily yale), 34 Normal Sala. wik ambule of Pokasyinm 35 Cle 4 a?) Base Une est ey Btu te! 3 oi h5S a+ (O23 ») vats! is ls. ce sell 0d cen pda. 6 fry y ae LL i oe {Lin the "bit 2hy Thin ahr 2 Th th Ehy AL i 16 it hr3z_*- A ewhen do Istort Covechén of kT Jl if < 3-5 : eHow Correct kK {Pub ambule of kK jh NS- (ambull zon) (d-$- cu Ges Gite fos aa — ales) | : write de wait SEE oes eel Cal! Lg =F Te excret Pokesimn Dna) ae doo oe Norma » Renal sinpainnt of oli a te Jetio 6) JS ES (ies. Ver Corects, A UoP= eS al, L Ff 2 2 Coneho of [CT Rest under EG Guid. ao Scanned by CamScanner Gr ress) « Ty / feet Hy peckalemio = wide GRs Tal] Twsave_- © 20Sp OBE > lo ivy © 10 IM easier Te Then Continue tx sabe of hunite shy. TY shock a __Lewery hy pies Caenee Bele tee Ds ay byieangey Gd oy Dea bod) zsh. ' Ie Guucose __2- Radosis (et Gt AB G des) gk a) 51 >» ARG (us CY ho 256 toh 102) Ip) DKA WE pey2 Cle O51 59) Nebuet addos BY dexbose 0120 y WS Jy Giee 47 dole) Si) dd PRG IY! OG 3.5 ES. Cut of DKA coy Chet ty cad icasbendiit pinaad oltieckye ACrckesis AI Bes Gd! Yro as Bhs Acide ities Sodio dohybrab yp Dies leat |i anoMey Acute Complicale > \o ~@© Hypo glycemia = - Blow Sagjew © 60 (3-5 mma /L) The svmplene ise VPalpilibow 22 succbing 3-1 Cold enhony Con Eusions (f.005 oft) §: conVul Sloe ~ + = most kel cause is + overdose - or From sulfon Coral hypoglycemic dy called dlow nig). A IS) Sno l= 949) Cele Ib): bad sdlos wf Lol o3 aik absorp BY bial unl y¥ Euc> § oul 9) Os sass) cle urea —_Dfeou_ cy IMG 2 aD (es ad = ae ] —_—S— 7 Scanned by CamScanner ! | | 55 Bee Juno} ). aS Ue Zif S2G CI coHonk 3) Z lio ys 2 le 2G ts Gt eo ny oy = Coma _7dS> ——-Hypergikemia. lead bo suck water From Cell (HS) | — From every Cell elfen brajin- lead To inter Shiki edema + Cerebral edema (*JCP)- tide cd 69 Dk gc sen debris > | ASG Kelon beady v_Uurinconaliy sis Acidés (? » ABFg zs | 2 Cerebral edema Zilir ws Henk sip pyel Cay | Hewiddeiie be Ley 2: elevid bieud of bed O5° 3. Give pt manifol (bragch choke) %..1n sly - te Complicabinite lactic Acidosis (rave)~ 0. ——h_ ph use heb formic TReapy Coral hypo on = IAchic acidosis Ts mekabolse dcidosic wi Increase acm Chronic. Compkeations [ iabetic NePhrap amy 2 (Rena) Cry a rn 5 g 3 cw w Vv ov wo eS > Ww Ab Ib 4 = Gilomertlar Scere. ( vel: lesa _[Z1 Dtabelic Pekino palty = roi esi). ry th I = (ner ve “. -t oh >> ee Scanned by CamScanner er. (Gerace @ : eas) at IN acrovasculer Caseplical. > 2 ( atercsclves —SNsthemic ect Sx CHeark)- | TZ) Cevebrovascuiny aCCidenl (Strolt) Rrain ~ Ig) limp Lech asian ~ __ Ml Mesenteric Ischemia (Rowe/)- > Z = ~ ee ic i Hf. Stuges 2 His | | [Tq nom Pro trferc tive ret nopalhy: called bods = j2loks or mito untursn [Zl macula edema. (ope disc) op cle B_Proliteratine retmopaimy + called New Vasculariza bei (apbi dite), tik of Retinopamy: Plicle Cougulabinn Clazer Phetecougulatn)- a earth Tye | Sabetic Newropamy = fm Sensory altecl- Fiistly (Gloves pspock less of Sepsaut—\, | im Moboy neuwpalhy = muscle wast egy paint | (biabctic anyotcap) pan am 5 te in G1_=) Gastro patesis< jem : in Hearks palpitation, posburec| Hypo Fensiée (Poor preg nashte sign), | Sashabury Swen bins (aver sweala5) » Setue) dys funch = s=Deform Boint called chazsel Fant: oN ~\ =| Dd rea bmenbmen | oF Oe Fursk Iie -@ Educa ben = Tell nw Ais dx nee! Gatrol B Follow up. if U Contwl % follen u/>? you heve Normal life WMIRCUA- ComdWeah— . @ life Style Modificokion. excersize ( 22k) Cenkra\ diel (60 nabwra! carbehy dat) » Faby proketix ayo Stop _srwok~I ¢ Alcohol: Wo Scanned by CamScanner «C oy / / Sot aa ~- = esp) = = TelLhim symp_of Hypo sly por gly.cemu: | - AT oe mobos Hae euery S moni }- ae tom plicakes- | a depAd 23a le Cae shes Lio gle ol of Baki diabelic agen | (ovat higaogipcemic dees): wasisdune (Typed ob loyal). eX i w ony) 2 Shkimulate poncrease bo preclinc. Sipeclamide Cdowniny . ——Sa_achibate ta sulis Eurntbitian (leaf itl 2 ete usb us > |- Clachiéctcidesis) te 2 55 seen tol (ubeh pois dH BI sserhl esti S chee dng. % INSulin pecking SS ie

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