diabetes mellitus dr david carmody specialist registrar in diabetes and endocrinology south...
TRANSCRIPT
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Diabetes Mellitus
Dr David CarmodySpecialist Registrar in Diabetes and EndocrinologySouth Infirmary Victoria University Hospital
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How Common Now
?
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How Common 2025
?
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Who Cares
?
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Introduction 2
• Association between Diabetes and CVS
• INSERT Graph x 1
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What must I know?
• Diagnosis
• Types/ Causes
• Treatments
• Complications
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What must I know?
• Diagnosis
• Types/ Causes
• Treatments
• Complications
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Diagnosis mmol/l
711.1
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Diagnosis mmol/l
1. Fasting2. 75g OGTT3. Random
Greater than or equal to!!!
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What must I know?
• Diagnosis
• Types/ Causes
• Treatments
• Complications
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Types
• Type 1• Type 2• Genetic defects– MODY
• Gestational• Drugs
• Pancreatic disease– Tumour– Infection– Trauma– Haemachromatosis– CF– Surgeons
• Endocrinopathies
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“I used to have non-insulin dependent diabetes mellitus but now I am on insulin. My endocrine doctor says I now have insulin dependent non-
insulin dependent diabetes mellitus....”
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Insulin Resistance
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Beta cell failure
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What must I know?
• Diagnosis
• Types/ Causes
• Treatments
• Complications
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Type 1
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Insulins
• Once Daily• Mixed Insulin• Once Daily and Meal
time• Pumps
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Type 2
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Tried, trusted and cheap as chips
• Metformin
• Gliclazide MR
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New Drugs
• Exenatide
• Liraglitide
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Insulins
• Once Daily• Mixed Insulin• Once Daily and Meal
time• Pumps
![Page 28: Diabetes Mellitus Dr David Carmody Specialist Registrar in Diabetes and Endocrinology South Infirmary Victoria University Hospital](https://reader035.vdocuments.net/reader035/viewer/2022081420/56649ec15503460f94bcd6a7/html5/thumbnails/28.jpg)
What must I know?
• Diagnosis
• Types/ Causes
• Treatments
• Complications
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UKPDS- Type 2
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DCCT- Type 1
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I’ve learned something today
• Diagnosis
• Types/ Causes
• Treatments
• Complications