Difference between revisions of "Diabetes mellitus"

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Diabetes is an endocrine, metabolic disorder marked by high levels of blood glucose. Three classifications of diabetics exist: (1) Type 1 Diabetes where an immune mediated destruction of pancreatic beta cells occurs causing a total reduction in endogenous insulin and thus causing hyperglycemia; (2) Type II Diabetes where patients experience increasing insulin resistance for the level of endogenous insulin thus causing hyperglycemia; and (3) Gestational Diabetes in which hyperglycemia occurs in the second or third trimester of pregnancy. The diagnosis of diabetes is made based on fasting blood glucose levels and hemoglobin A1c levels. The diabetic population in the United States is both increasing in incidence and prevalence within the last decade. According to the 2017 National Diabetes Statistics Report from the Center for Disease Control (CDC), 10.5% of the U.S. population has diabetes with an estimated 21.4% of those who have the disease are still not diagnosed.<ref>{{Cite web|date=2020-09-28|title=National Diabetes Statistics Report, 2020 {{!}} CDC|url=https://www.cdc.gov/diabetes/data/statistics-report/index.html|access-date=2021-07-12|website=www.cdc.gov|language=en-us}}</ref>  
{{Infobox comorbidity
----[[Diabetes mellitus#%20ednref1|[i]]] T. N. N. D. I. Clearinghouse, ''National Diabetes Statistics Report'' (23/6/2014), pp. 1–12{{Infobox comorbidity
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}}'''Diabetes''' is an endocrine, metabolic disorder marked by high levels of blood glucose. Three classifications of diabetics exist:


== Anesthetic implications<!-- Briefly summarize the anesthetic implications of this comorbidity. --> ==
#Type 1 Diabetes, where an immune mediated destruction of pancreatic beta cells occurs causing a total reduction in endogenous insulin and thus causing hyperglycemia
#Type II Diabetes, where patients experience increasing insulin resistance for the level of endogenous insulin thus causing hyperglycemia
# Gestational Diabetes in which hyperglycemia occurs in the second or third trimester of pregnancy.


=== Preoperative optimization<!-- Describe how this comorbidity may influence preoperative evaluation and optimization of patients. --> ===


=== Intraoperative management<!-- Describe how this comorbidity may influence intraoperative management. --> ===
The diagnosis of diabetes is made based on fasting blood glucose levels and hemoglobin A1c levels. The diabetic population in the United States is both increasing in incidence and prevalence within the last decade. According to the 2017 National Diabetes Statistics Report from the Center for Disease Control (CDC), 10.5% of the U.S. population has diabetes with an estimated 21.4% of those who have the disease are still not diagnosed.<ref>{{Cite web|date=2020-09-28|title=National Diabetes Statistics Report, 2020 {{!}} CDC|url=https://www.cdc.gov/diabetes/data/statistics-report/index.html|access-date=2021-07-12|website=www.cdc.gov|language=en-us}}</ref>  


=== Postoperative management<!-- Describe how this comorbidity may influence postoperative management. --> ===


== Related surgical procedures<!-- List and briefly describe any procedures which may be performed specifically to treat this comorbidity or its sequelae. If none, this section may be removed. --> ==
==Anesthetic implications<!-- Briefly summarize the anesthetic implications of this comorbidity. -->==


== Pathophysiology<!-- Describe the pathophysiology of this comorbidity. Add subsections as needed. --> ==
===Preoperative optimization<!-- Describe how this comorbidity may influence preoperative evaluation and optimization of patients. -->===


== Signs and symptoms<!-- Describe the signs and symptoms of this comorbidity. --> ==
===Intraoperative management<!-- Describe how this comorbidity may influence intraoperative management. -->===


== Diagnosis<!-- Describe how this comorbidity is diagnosed. --> ==
=== Postoperative management<!-- Describe how this comorbidity may influence postoperative management. -->===


== Treatment<!-- Summarize the treatment of this comorbidity. Add subsections as needed. --> ==
==Related surgical procedures<!-- List and briefly describe any procedures which may be performed specifically to treat this comorbidity or its sequelae. If none, this section may be removed. --> ==


=== Medication<!-- Describe medications used to manage this comorbidity. --> ===
==Pathophysiology<!-- Describe the pathophysiology of this comorbidity. Add subsections as needed. --> ==


=== Surgery<!-- Describe surgical procedures used to treat this comorbidity. --> ===
==Signs and symptoms<!-- Describe the signs and symptoms of this comorbidity. --> ==


=== Prognosis<!-- Describe the prognosis of this comorbidity --> ===
==Diagnosis<!-- Describe how this comorbidity is diagnosed. -->==


== Epidemiology<!-- Describe the epidemiology of this comorbidity --> ==
==Treatment<!-- Summarize the treatment of this comorbidity. Add subsections as needed. -->==


== References ==
===Medication<!-- Describe medications used to manage this comorbidity. -->===
 
===Surgery<!-- Describe surgical procedures used to treat this comorbidity. -->===
 
===Prognosis<!-- Describe the prognosis of this comorbidity -->===
 
==Epidemiology<!-- Describe the epidemiology of this comorbidity -->==
 
==References==
 
<references />


[[Category:Comorbidities]]
[[Category:Comorbidities]]

Revision as of 05:44, 12 July 2021

Diabetes mellitus
Anesthetic relevance

High

Anesthetic management

Preoperative HgA1c value Preoperative glucose value Preoperative medication adjustment Insulin administration Post-operative glucose

Specialty

Endocrine

Signs and symptoms

Excessive thirst Polyuria Polydypsia Glucosuria Peripheral neuropathy Ocular degeneration Cardiovascular disease

Diagnosis

HgA1c Fasting glucose

Treatment

Oral anti-hyperglycemics Exogenous insulin administration

Article quality
Editor rating
Unrated
User likes
0

Diabetes is an endocrine, metabolic disorder marked by high levels of blood glucose. Three classifications of diabetics exist:

  1. Type 1 Diabetes, where an immune mediated destruction of pancreatic beta cells occurs causing a total reduction in endogenous insulin and thus causing hyperglycemia
  2. Type II Diabetes, where patients experience increasing insulin resistance for the level of endogenous insulin thus causing hyperglycemia
  3. Gestational Diabetes in which hyperglycemia occurs in the second or third trimester of pregnancy.


The diagnosis of diabetes is made based on fasting blood glucose levels and hemoglobin A1c levels. The diabetic population in the United States is both increasing in incidence and prevalence within the last decade. According to the 2017 National Diabetes Statistics Report from the Center for Disease Control (CDC), 10.5% of the U.S. population has diabetes with an estimated 21.4% of those who have the disease are still not diagnosed.[1]  


Anesthetic implications

Preoperative optimization

Intraoperative management

Postoperative management

Related surgical procedures

Pathophysiology

Signs and symptoms

Diagnosis

Treatment

Medication

Surgery

Prognosis

Epidemiology

References

  1. "National Diabetes Statistics Report, 2020 | CDC". www.cdc.gov. 2020-09-28. Retrieved 2021-07-12.