Difference between revisions of "Diabetes mellitus"

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==Neuropathology==
==Neuropathology==
*Idiopathic inflammatory myositis.<ref name=pmid20536597>{{cite journal |author=Limaye VS, Lester S, Blumbergs P, Roberts-Thomson PJ |title=Idiopathic inflammatory myositis is associated with a high incidence of hypertension and diabetes mellitus |journal=Int J Rheum Dis |volume=13 |issue=2 |pages=132–7 |year=2010 |month=May |pmid=20536597 |doi=10.1111/j.1756-185X.2010.01470.x |url=}}</ref>
*Idiopathic inflammatory myositis.<ref name=pmid20536597>{{cite journal |author=Limaye VS, Lester S, Blumbergs P, Roberts-Thomson PJ |title=Idiopathic inflammatory myositis is associated with a high incidence of hypertension and diabetes mellitus |journal=Int J Rheum Dis |volume=13 |issue=2 |pages=132–7 |year=2010 |month=May |pmid=20536597 |doi=10.1111/j.1756-185X.2010.01470.x |url=}}</ref>
==Forensic pathology==
*Diabetic coma (in life) - may be demonstrated with an elevated glucose in the vitreous humour.<ref name=pmid19167848>{{Cite journal  | last1 = Zilg | first1 = B. | last2 = Alkass | first2 = K. | last3 = Berg | first3 = S. | last4 = Druid | first4 = H. | title = Postmortem identification of hyperglycemia. | journal = Forensic Sci Int | volume = 185 | issue = 1-3 | pages = 89-95 | month = Mar | year = 2009 | doi = 10.1016/j.forsciint.2008.12.017 | PMID = 19167848 }}</ref>


=References=
=References=

Revision as of 22:20, 31 March 2012

Diabetes mellitus, often just diabetes, is a common affliction that is increasing with the expanding waistlines. It is commonly abbreviated DM.

General

  • Major cardiovascular risk factor.
  • Many subtypes.
    • Most common: DM type 2 -- strongly assoc. with obesity.

Diagnosis

Based on biochemistry, specifically:

  • Fasting blood glucose >=7.0 mmol/L.
  • Two-hour glucose tolerance test >=11.1 mmol/L.

Classic complications

Family medicine - mnemonic HELP:

  • H - HbA1c, Hypertension.
  • E - eye.
  • L - lipids.
  • P - podiatry, proteinuria, Pneumococcus vaccine.

Emergency room presentations

  • Ketoacidosis - DM type 1.
  • Hyperosmotic non-ketotic (HONK) coma - DM type 2.

Subspecialty specific findings

Dermatopathology

Other:

Gastrointestinal pathology

Breast pathology

Genitourinary pathology

Placental pathology

Cardiovascular pathology

Neuropathology

  • Idiopathic inflammatory myositis.[4]

Forensic pathology

  • Diabetic coma (in life) - may be demonstrated with an elevated glucose in the vitreous humour.[5]

References

  1. URL: http://www.umm.edu/altmed/articles/amyloidosis-000007.htm. Accessed on: 23 October 2010.
  2. Amer HZ, Heller DS (2010). "Chorangioma and related vascular lesions of the placenta--a review". Fetal Pediatr Pathol 29 (4): 199–206. doi:10.3109/15513815.2010.487009. PMID 20594143.
  3. Lilja M (July 1994). "Infants with single umbilical artery studied in a national registry. 3: A case control study of risk factors". Paediatr Perinat Epidemiol 8 (3): 325–33. PMID 7997408.
  4. Limaye VS, Lester S, Blumbergs P, Roberts-Thomson PJ (May 2010). "Idiopathic inflammatory myositis is associated with a high incidence of hypertension and diabetes mellitus". Int J Rheum Dis 13 (2): 132–7. doi:10.1111/j.1756-185X.2010.01470.x. PMID 20536597.
  5. Zilg, B.; Alkass, K.; Berg, S.; Druid, H. (Mar 2009). "Postmortem identification of hyperglycemia.". Forensic Sci Int 185 (1-3): 89-95. doi:10.1016/j.forsciint.2008.12.017. PMID 19167848.