DIABETIC COMPLICATIONS. COMPLICATIONS COMPLICATIONS.

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DIABETIC DIABETIC COMPLICATIONS COMPLICATIONS

Transcript of DIABETIC COMPLICATIONS. COMPLICATIONS COMPLICATIONS.

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DIABETIC DIABETIC COMPLICATIONSCOMPLICATIONS

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COMPLICATIONSCOMPLICATIONS

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COMPLICATIONSCOMPLICATIONS

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COMPLICATIONSCOMPLICATIONS

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COMPLICATIONSCOMPLICATIONS

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CVD Risk Factors:CVD Risk Factors:

1.1. Smoking - promotes atherosclerosis Smoking - promotes atherosclerosis 2.2. Sedentary lifestyle – bawal ang tamad !!!Sedentary lifestyle – bawal ang tamad !!!3.3. Family historyFamily history4.4. Abdominal obesity – esp. central obesityAbdominal obesity – esp. central obesity5.5. HypertensionHypertension6.6. DysglycemiaDysglycemia7.7. DsylipidemiaDsylipidemia

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How to reduce cholesterol level How to reduce cholesterol level ??

Non – pharmacologicNon – pharmacologic PharmacologicPharmacologic Treatment goalsTreatment goals

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How to reduce cholesterol level How to reduce cholesterol level ??

Non – pharmacologicNon – pharmacologic

- diet – bawal ang apat na paa !!- diet – bawal ang apat na paa !!

- exercise – more than 30 - exercise – more than 30 minutes, minutes,

more than 3x a weekmore than 3x a week

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How to reduce cholesterol level How to reduce cholesterol level ??

Treatment Goals:Treatment Goals:

total cholesterol – less 160total cholesterol – less 160

triglycerides – less 100triglycerides – less 100

LDL – less 70 (high risk)LDL – less 70 (high risk)

HDL – >45 (male)HDL – >45 (male)

>55 (female)>55 (female)

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How to reduce BP ?How to reduce BP ?

Non – pharmacologicNon – pharmacologic PharmacologicPharmacologic Treatment goalsTreatment goals

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How to reduce BP ?How to reduce BP ?

Non – pharmacologicNon – pharmacologic

lifestyle modification:lifestyle modification:

- low fat , low salt diet- low fat , low salt diet

- limited alcohol use- limited alcohol use

- regular physical exercise- regular physical exercise

- smoking cessation- smoking cessation

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How to reduce BP ?How to reduce BP ?

Treatment Goal:Treatment Goal:

BP should be less 120/80BP should be less 120/80

pre-hpn 120/80pre-hpn 120/80

stage I 140/90stage I 140/90

stage II 160/100stage II 160/100

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UTAK (CEREBROVASCULAR)

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PUSO (CARDIOVASCULAR)

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NGIPIN (PERIODONTAL)

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MATA (RETINOPATHY)

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BATO (NEPHROPATHY)

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UGAT (NEUROPATHY)

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PAA (PERIPHERAL ARTERIAL)

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MATAMATA(RETINOPATHY)(RETINOPATHY)

• pangunahing dahilan ng pagkabulagpangunahing dahilan ng pagkabulag

• Type 1 diabetes= lahat may retinopathy Type 1 diabetes= lahat may retinopathy pagkatapos ng 10 taonpagkatapos ng 10 taon

• Type 2 diabetes= >60% may Type 2 diabetes= >60% may retinopathy pagkatapos ng 10 taonretinopathy pagkatapos ng 10 taon

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• maaari ring ito ang unang maaari ring ito ang unang simtomas sa diabetessimtomas sa diabetes

• karamihan din sa mga diabetiko ay karamihan din sa mga diabetiko ay may retinopathy na sa panahong may retinopathy na sa panahong nalaman na sila ay may diabetesnalaman na sila ay may diabetes

mas malala ang retinopathy sa mas malala ang retinopathy sa mga type 1 na diabetikomga type 1 na diabetiko

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mga simtomasmga simtomas

• panlalabo ng paninginpanlalabo ng paningin

• pagdilim ng paninginpagdilim ng paningin

• pagdoble ng paninginpagdoble ng paningin

• itim na ‘spots’ sa paninginitim na ‘spots’ sa paningin

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mga ‘risk factors’mga ‘risk factors’

• hindi kontroladong asukalhindi kontroladong asukal

• hindi kontroladong ‘blood pressure’hindi kontroladong ‘blood pressure’

• mataas na mantika ng dugomataas na mantika ng dugo

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pangangalaga ng matapangangalaga ng mata

Gawing regular ang pagmomonitor sa Gawing regular ang pagmomonitor sa asukal sa dugoasukal sa dugo

Magplano ng tamang pagkainMagplano ng tamang pagkainMagpatingin sa ophthalmologist minsan Magpatingin sa ophthalmologist minsan

sa isang taon o mas madalas pa sa isang taon o mas madalas pa depende sa mungkahi ng doktordepende sa mungkahi ng doktor

Panatilihing normal ang presyon ng Panatilihing normal ang presyon ng dugodugo

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gamotgamot

• LASER THERAPYLASER THERAPY

• IBA PANG ‘EXPERIMENTAL’ NA IBA PANG ‘EXPERIMENTAL’ NA GAMOTGAMOT

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SAKIT SA SAKIT SA PUSOPUSO

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STROKESTROKE

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THE ARTERIAL WALL

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ATHEROSCLEROSIS(paninigas ng ugat)

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MGA SANHI NG MGA SANHI NG PANINIGAS NGPANINIGAS NG UGATUGAT

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ANO ANG DAPAT GAWIN PARA ANO ANG DAPAT GAWIN PARA MAIWASAN ANG SAKIT SA PUSO & MAIWASAN ANG SAKIT SA PUSO &

STROKE?STROKE? Iwasan ang:Iwasan ang:

sobrang pag-inom ng alaksobrang pag-inom ng alak paninigarilyopaninigarilyo matakaw sa maalat, matamis matakaw sa maalat, matamis

o matataba na pagkaino matataba na pagkain Sobrang timbang Sobrang timbang

(overweight)(overweight)

Regular na exerciseRegular na exercise

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ANO ANG DAPAT GAWIN PARA MAIWASAN ANO ANG DAPAT GAWIN PARA MAIWASAN ANG SAKIT SA PUSO & STROKE?ANG SAKIT SA PUSO & STROKE?

Regular check-up sa doktor Regular check-up sa doktor AltapresyonAltapresyon

<130/80 mmhg <130/80 mmhg DiabetesDiabetes

Fasting - <100 mg/dlFasting - <100 mg/dl After a meal - <140 mg/dlAfter a meal - <140 mg/dl

LahiLahi BP check-upBP check-up FBS, 2-hPGBSFBS, 2-hPGBS

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ANO ANG DAPAT GAWIN PARA MAIWASAN ANO ANG DAPAT GAWIN PARA MAIWASAN ANG SAKIT SA PUSO & STROKE?ANG SAKIT SA PUSO & STROKE?

Regular check-up sa doktor Regular check-up sa doktor Laboratory examination:Laboratory examination:

Total cholesterol - <200 mg/dlTotal cholesterol - <200 mg/dl LDL cholesterol - <100 mg/dlLDL cholesterol - <100 mg/dl HDL cholesterol – men >45 mg/dlHDL cholesterol – men >45 mg/dl

women > 50 mg/dlwomen > 50 mg/dl Triglyceride - < 150 mg/dlTriglyceride - < 150 mg/dl HbA1c - < 6%HbA1c - < 6% ECGECG

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ANO ANG NANGYAYARI SA KIDNEYS PAG MAY DIABETIC NEPHROPATHY

• Glomerular Hypertension

kauna-unahang pagbaba-

gong abnormal sa kidneys

• Protina sa ihi

a. Microalbuminuria

b. macroalbuminuria

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ANO ANG NANGYAYARI SA KIDNEYS PAG MAY DIABETIC NEPHROPATHY

• End Stage renal disease ( Tuluyang pag kasira ng kidneys) ay nang yayari 5-10 yrs matapos madiskubre ang komplikasyong ito.

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PANO MALALAMAN KUNG MAY DIABETIC NEPHROPATHY

• Micral test

• Normal o pagiging

malaki ng sukat ng

kidneys sa Ultrasound

• Anemia

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MGA SANHI NG PAGKAKAROON NG DIABETIC NEPHROPATHY

• Hyperglycemia - mataas na asukal sa dugo

• Hypertension o High blood pressure

• Proteinuria o Protina sa ihi

• Paninigarilyo

• Hyperlipidemia o mataas na kolesterol

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PAANO MAGAGAMOT O MAIIWASAN ANG DIABETIC

NEPHROPATHY

• Control ng blood sugar

• Control ng blood pressure

• Dialysis

• Kidney transplant