Diabetes Mellitus Dr David Carmody Specialist Registrar in Diabetes and Endocrinology South Infirmary Victoria University Hospital.

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Presentation transcript:

Diabetes Mellitus Dr David Carmody Specialist Registrar in Diabetes and Endocrinology South Infirmary Victoria University Hospital

How Common Now ?

How Common 2025 ?

Who Cares ?

Introduction 2 Association between Diabetes and CVS INSERT Graph x 1

What must I know? Diagnosis Types/ Causes Treatments Complications

What must I know? Diagnosis Types/ Causes Treatments Complications

Diagnosis mmol/l

Diagnosis mmol/l 1.Fasting 2.75g OGTT 3.Random Greater than or equal to!!!

What must I know? Diagnosis Types/ Causes Treatments Complications

Types Type 1 Type 2 Genetic defects – MODY Gestational Drugs Pancreatic disease – Tumour – Infection – Trauma – Haemachromatosis – CF – Surgeons Endocrinopathies

“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....”

Insulin Resistance

Beta cell failure

What must I know? Diagnosis Types/ Causes Treatments Complications

Type 1

Insulins Once Daily Mixed Insulin Once Daily and Meal time Pumps

Type 2

Tried, trusted and cheap as chips Metformin Gliclazide MR

New Drugs Exenatide Liraglitide

Insulins Once Daily Mixed Insulin Once Daily and Meal time Pumps

What must I know? Diagnosis Types/ Causes Treatments Complications

UKPDS- Type 2

DCCT- Type 1

I’ve learned something today Diagnosis Types/ Causes Treatments Complications