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Published byShanon Cannon Modified over 9 years ago
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DM Dewasa EVA DECROLI
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Problems Increased of prevalence Cronic complications ex. Diabetic Foot Problems Prevention, primer, secunder tertier
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Etiology of Insulin Resistence Weight gain Obexisity Circulation FFA Lipoatrophy adipokines Insulin Resistance The subnormal biologic response to a given concentration of insulin Physical inactivity Aging Genetica
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Etiology of -Cell Dysfunction Genetics Lipotoxicity Glucose toxicity -Cell Failure Inadequate compentation for insulin resistance and selective non-responsivoness to glucose Loss of -cell …… ? Cytokines ? Amyloid accumulation
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The Role of Genes and the Environment Normal GENES Environment Insulin resistance Diabetes genes insulin resistance genes -cel function genes Obesity genes Decreased Insulin secretion Type DM Diet Activity Toxins
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Risk Factors for Type 2 Diabetes Genetic factors -Ethnicity -Family history Gastational Diabetes polycystic Ovarian syndrome, and party Type 2 Diabetes Increasing age Central obesity Physical inactivity Diet
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Pathophysiology of DM Hepatic glucose Production (HGP Peripheral Glucose Uptake Blood Glucose
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Macrovascular Complication of Type 2 Diabetes 80% of people with type 2 diabetes thr from CVD ~ Coronary heart disease (CHD) - eg, angina, heart attack, heart failure - 2-to 4-fold increased risk ~ Cerebrovascular disease - eg, stroke, transient ischemic attacks - 2-to 4-foid increased risk ~ Peripheral vascular disease - eg. Intermittent claudication, gangrene, amputations
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