Difference between revisions of "Diabetes mellitus"

From Libre Pathology
Jump to navigation Jump to search
 
(3 intermediate revisions by the same user not shown)
Line 1: Line 1:
[[Image:Main symptoms of diabetes.svg|thumb|right|350px|The manifestations of diabetes mellitus from a clinical perspective. (WC/Mikael Häggström)]]
'''Diabetes mellitus''', often just '''[[diabetes]]''', is a common affliction that is increasing with the expanding waistlines.  It is commonly abbreviated '''DM'''.
'''Diabetes mellitus''', often just '''[[diabetes]]''', is a common affliction that is increasing with the expanding waistlines.  It is commonly abbreviated '''DM'''.


Line 50: Line 51:
==Cardiovascular pathology==
==Cardiovascular pathology==
*[[Atherosclerosis]].
*[[Atherosclerosis]].
**[[Coronary artery disease]].
***[[Myocardial infarction]].
***[[Congestive heart failure]].
**[[Stroke]].
**[[Peripheral vascular disease]].
*[[Arterial hyaline]] - in both afferent and efferent arteriole of the [[kidney]].
*[[Arterial hyaline]] - in both afferent and efferent arteriole of the [[kidney]].


Line 56: Line 62:


==Forensic pathology==
==Forensic pathology==
*Diabetic coma (in life) - may be demonstrated with an elevated glucose in the vitreous fluid.<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>
*Diabetic coma (preceding death) at [[autopsy]] - may be demonstrated with an elevated glucose in the vitreous fluid.<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=

Latest revision as of 06:02, 2 January 2016

The manifestations of diabetes mellitus from a clinical perspective. (WC/Mikael Häggström)

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 associated 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 (preceding death) at autopsy - may be demonstrated with an elevated glucose in the vitreous fluid.[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.