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Complications of Diabetes Mellitus01:22

Complications of Diabetes Mellitus

Diabetes mellitus is a chronic metabolic disorder characterized by persistent hyperglycemia due to insulin deficiency, resistance, or both. Prolonged hyperglycemia disrupts metabolic homeostasis and leads to acute and chronic complications.Acute ComplicationsAcute complications result from sudden metabolic imbalance.Diabetic ketoacidosis (DKA) mainly appears in type 1 diabetes but may also develop in type 2 diabetes, particularly under extreme stress. It arises from severe insulin deficiency,...
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DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
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Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...
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Diabetes mellitus consists of chronic metabolic disorders characterized by persistent hyperglycemia. This elevated blood glucose results from defects in insulin secretion, impaired insulin action, or both. Insulin, produced by pancreatic β-cells, is essential for maintaining glucose homeostasis by facilitating cellular glucose uptake for energy or storage. Disruptions in insulin production or function lead to glucose accumulation in the bloodstream, causing the clinical features and long-term...
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Hyperglycemia is an abnormally high blood glucose level. It is diagnosed by fasting glucose ≥126 mg/dL, 2-hour oral glucose tolerance test (or OGTT) ≥200 mg/dL, random glucose ≥200 mg/dL with symptoms, or HbA1c ≥6.5%. However, HbA1c results may be unreliable in certain conditions, such as anemia or hemoglobinopathies, and the diagnosis should be confirmed unless classic symptoms are present. Postprandial hyperglycemia is typically considered significant when glucose levels exceed 180 mg/dL two...
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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is based on...

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Alternate Immersion in Glucose to Produce Prolonged Hyperglycemia in Zebrafish
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Published on: May 5, 2021

Diabetes, metabolic abnormalities, and glaucoma.

Gavin S Tan1, Tien Y Wong, Chee-Weng Fong

  • 1Singapore National Eye Centre and Singapore Eye Research Institute, Singapore.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|October 14, 2009
PubMed
Summary
This summary is machine-generated.

Diabetes and metabolic issues may slightly raise intraocular pressure but are not significant risk factors for glaucoma in Malay adults. Further research on diabetes and eye health is warranted.

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Area of Science:

  • Ophthalmology
  • Endocrinology
  • Public Health

Background:

  • Diabetes mellitus and metabolic abnormalities are global health concerns.
  • Intraocular pressure and glaucoma are leading causes of blindness worldwide.
  • Understanding the interplay between metabolic health and ocular conditions is crucial for preventative strategies.

Purpose of the Study:

  • To investigate the association between diabetes mellitus and metabolic abnormalities with intraocular pressure (IOP).
  • To determine if diabetes and metabolic abnormalities are risk factors for glaucoma.
  • To analyze these relationships in a Malay adult population.

Main Methods:

  • A population-based study of 3280 Malay adults aged 40-80 years.
  • Diabetes defined by serum glucose or physician diagnosis; metabolic abnormalities assessed via BMI, lipids, and blood pressure.
  • Glaucoma diagnosed using standardized International Society for Geographical and Epidemiological Ophthalmology criteria.

Main Results:

  • 23.3% of participants had diabetes.
  • Higher intraocular pressure was observed in individuals with diabetes and those with elevated glucose, HbA1c, cholesterol, triglycerides, and BMI.
  • Despite increased IOP, the prevalence of glaucoma was similar in diabetic and non-diabetic individuals, with no significant association found after adjustments.

Conclusions:

  • Diabetes and associated metabolic abnormalities are linked to a modest increase in intraocular pressure.
  • These metabolic conditions do not appear to be significant risk factors for developing glaucomatous optic neuropathy.
  • The findings highlight the complex relationship between metabolic health and glaucoma risk.