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DM: Chronic Complications & Review

Across
Proliferative diabetic retinopathy
Retinal lesions secondary to debris or ischemia
Diabetic Nephropathy: Screening after first five years
Oxidative Stress, Inflammation, Hypertension
Macroalbuminuria, Glomerulonephropathy
Pituitary, bitemporal hemianopsia,headaches
Not advised with ACE-I or ARBs, associated with worse renal outcomes
Presence of three or more risk factors; abdominal obesity, HTN, Diabetes, HL, BP
Microvascular changes are limited to the retina with possible macular edema or ischemia
Down
Shower of red dots
Diabetic Nephropathy: Screening once a year
White yellow deposits assoc with vascular leakage seen in Diabetic Retinopathy
Approach with 80% cure
RF for Diabetic chronic complications at increased incidence
Mildly decreased eGFR
Should be considered in T2DM with CVD or microalbuminuria
Beneficial in patients with T2DM with HF, reduction in morbidity and mortality
Gold standard fundoscopic examination for diabetic retinopathy
Reduces incidence of retinal vein occlusion, provides beneficial glycemic control
Estimated eGFR of <15, uremia, irreversible