DIABETES OVERVIEW AND UPDATE. Barb Bancroft, RN, MSN, PNP [email protected] www.barbbancroft.com. Historical highlights…in the old days…. Diabetes—”to siphon” Mellitus—”sweet” Nurse… “ Taste thy patient’s urine, for if it be sweet…” ---Dr. Thomas Willis.
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---Dr. Thomas Willis
Juvenile Onset Diabetes Mellitus (JODM)
Adult Onset Diabetes Mellitus (AODM)
Insulin Dependent Diabetes Mellitus (IDDM)
Non-insulin Dependent Diabetes Mellitus (NIDDM)
Type I (Roman numeral used)
Type II (Roman numeral used)
Type 1 (Arabic number)
Type 2 (Arabic number)
The odds that a person who is normal weight at age 18 will develop diabetes later in life are 1-in-5 or 1-in-6. However, if a child is very obese at age 18, they have a 3-in-4 chance of developing diabetes. The lifetime risk of developing diabetes, based on a body mass index at age 18, is as follows:
(CDC—Diabetes Branch, May 2006)(June 2006, ADA)
(Umpierrez GE, Palacio A, Smiley D. Sliding Scale Insulin Use: Myth or Insanity? The Am J of Med 2007 (July): 120 (7).
(pioglitazone HCl and glimepiride)
years of amputation
“If it tastes good, spit it out!” circulating insulinThe Cardiologist’s diet?
(Ziegler D et al. Oral treatment with alpha lipoic acid improves symtpomatic diabetic polyneuropathy: The SYDNEY 2 trial. Diabetes Care 2006 Nov; 29:2365-70.
( vasodilation by
( vasoconstriction via
( angiotensin 2)