Complications of diabetes

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Imaging of Vascular Complications of Diabetes
By Dr Ashok MANRAJ Medical Update 13.12.06
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Complications of diabetes

• Catch them young, else they spread like wildfire
• A Metabolic
• Hypoglycemia
• Ketoacidosis
• Hyperosmolar coma
• Lactic acidosis
• B Infections
• C Vascular complications

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Vascular complications of diabetes
Microangiopathic .Retinopathy .Nephropathy .Neurop
athy Macroangiopathic .Coronary artery
disease .Cerebro-vascular disease .Peripheral
vasc. disease
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Peripheral vascular disease in diabetics differs
from that in non-diabetics
Diabetic Non-diabetics
Frequency More common Less common
Age of onset Younger age Older age
Clinical course Rapid Less Rapid
Occlusion Multisegmental Single segment
Lower limbs Both Unilateral
Vessels involved Proximal distal Distal
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Doppler criteria of stenosis of carotid arteries
diameter reduction Doppler
Clinically Normal PSVlt125
Normal
Clear window 1-15
PSVlt125 Minimal disease
Min spec broad 16-49
PSV lt125 Moderate
disease Spec broad 50-79
PSVgt125 Mod severe
Inc Dias flow Marked spec broad 80-99
PSVgt200 Markedly
severe EDVgt140
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