Page 276 - fourth year book

DIABETES MELLITUS

 Older adults (aged >65 years) with diabetes should be considered a
high-priority population for depression screening and treatment.

 Patients with comorbid diabetes and depression should receive a
stepwise collaborative care approach for the management of

depression.
5) Diabetes self-management education.

1. Healthful eating.
2. Being active.

3. Self-Monitoring of Blood Glucose.
4. Taking medication.

5. Foot Care.
6. Problem solving (including pattern management)

7. Reducing risks (such as smoking cessation)
8. Healthy coping (including stress management) .

9. Sick day management.

 Complications of Diabetes:

Diabetes is a serious disease that has both acute and chronic
complications. They are of a variable speed of onset and severity and

often adversely affect the individual quality of life.

Acute complications Chronic complications

1. Hypoglycemia (insulin shock) A. Microvascular ;

2. Diabetic ketoacidosis DKA - Retinopathy.

3. Hyperglycemic hyperosmolar non - Nephropathy.
ketotic HHNS.
- Neuropathy.
4. Infections
B. Macro vascular:

- Cardiovascular,

- Cerebrovascular

- Peripheral disease

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