By Kenneth M. Shaw, Michael H. Cummings
This version of Diabetes: persistent Complications offers either the skilled and trainee endocrinologist with easy-to-read, up to date useful assistance at the administration of the numerous issues which may consequence from the onset of diabetes, corresponding to kidney failure, heart problems, retinal failure, and cerebrovascular sickness. Reflecting the rapid advancements at present occurring within the box, the second one edition introduces a brand-new part on liver problems in diabetes, extra fabric on psychological future health problems within the part on diabetes and the mind, assurance of dyslipidaemia and high blood pressure within the part on diabetes and the guts, five MCQ's in every one part to aid enhance medical talents, and a case examine and key issues precis field in each bankruptcy.
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Additional resources for Diabetes Chronic Complications
BMJ 2001;323:4–5. 8. Younis N, Broadbent DM, James M, Harding SP, Vora JP. Incidence of sight threatening retinopathy in patients with type 2 diabetes in the Liverpool diabetic eye study: a cohort study. Lancet 2003;361:195–200. 9. DCCT Research Group. The effect of intensive treatment of diabetes on the development and treatment and progression of long-term complications in insulin dependent diabetes mellitus. N Engl J Med 1993;329:977–1034. 10. Stratton IM, Kohner EM, Aldington SJ, et al. Progression of diabetic retinopathy at diagnosis of non-insulin dependent diabetes in the United Kingdom Prospective Diabetes Study.
The second stage consists of a ‘silent phase’ associated with normal urinary albumin excretion or intermittent episodes of microalbuminuria. This silent phase may last for many years and most patients with diabetes will remain in this phase for their lifetime. The next phase (stage 3) is characterized by persistent microalbuminuria. Usually GFR will be preserved in individuals with type 1 or type 2 diabetes during this stage, as long as they remain normotensive and their AER does not rise progressively.
Alcohol consumption and physical activity also show no consistent effect. Surgical management Maculopathy – laser and intravitreal therapy Laser treatment The rationale for laser treatment in the macula is to cause closure of retinal microaneurysms and also mild thermal damage to the RPE cells, which has an effect on the outer blood–retinal barrier and allows increased egress of ﬂuid from the retina; it also stimulates RPE cells into increased pumping activity. The ETDRS studied the effect of focal or grid laser treatment to the macula.