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DZdefclasificaredg1 PDF
DZdefclasificaredg1 PDF
DIABETUL ZAHARAT
Diabetul zaharat –
problemă epidemică globală
642 de milioane
de pacienți
până în 2040
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Leading
2- to 4-fold
cause of
increased
kidney failure
risk of CV death
(44% of new cases)
Leading cause
2- to 4-fold
of nontraumatic
increased lower-limb
risk of stroke
amputations
Centers for Disease Control and Prevention. National diabetes fact sheet, 2007. http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2007.pdf.
Accessed February 26, 2010.
Diabetul zaharat
Classification
Classification
type 1 diabetes
(b -cell destruction; absolute insulin deficiency)
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3
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GLYCEMIC RECOMMENDATIONS
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13
5
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DIABETUL GESTATIONAL
• 2015: orice grad de tulburare de glicoreglare cu debut
sau prima recunoastere in timpul sarcinii
• DG – diabetul cu debut in trim II sau III
• Screening
Screening--ul pentru diabet gestational:
la femeile gravide obeze
la cele cu istoric de diabet gestational la sarcinile
anterioare
la cele cu istoric familial de diabet zaharat
la femeile gravide cu glicozurie persistenta
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1. Pancreatitis
2. Trauma/pancreatectomy
3. Neoplasia
4. Cystic fibrosis
5. Hemochromatosis
6. Fibrocalculous pancreatopathy
7. Others
D. Endocrinopathies
1. Acromegaly
2. Cushing’s syndrome
3. Glucagonoma
4. Pheochromocytoma
5. Hyperthyroidism
6. Somatostatinoma
7. Aldosteronoma
8. Others
F. Infections
1. Congenital rubella
2. Cytomegalovirus
3. Others
1. “Stiff-man” syndrome
2. Anti-insulin receptor antibodies
3. Others
1. Down syndrome
2. Klinefelter syndrome
3. Turner syndrome
4. Wolfram syndrome
5. Friedreich ataxia
6. Huntington chorea
7. Laurence-Moon-Biedl syndrome
8. Myotonic dystrophy
9. Porphyria
10. Prader-Willi syndrome
11. Others
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Diagnostic clinic în DZ
- Poliurie
- Polidipsie
- Polifagie
- Scădere ponderală
Semne/s
Semne/ simptome ale
complicaţiilor - 25% din cazuri
cazuri
EVALUAREA PACIENTULUI CU
DIABET ZAHARAT
- educatia specifica
- managementului stilului de viata
- suportul psihologic
- automonitorizarea
- controlul tensiunii arteriale
- evaluarea cardiovasculara
- evaluarea oftalmologica
- evaluarea renala
- evaluarea neurologica
- ingrijirea picioarelor