Severe Case of Diabetes, Diabetic Nephropathy, Angiopathy: Case Report

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Laboratorinė medicina. 2017,
t. 19,
Nr. 3,
p. 186 -
190

According to the World Health Organization’s (WHO) worldwide report on diabetes, diabetes is the main cause of the blindness, renal insufficiency, myocardial infarction, stroke and amputations of the lower limbs. Morbidity of the diabe­tes increased from 108 million to 422 million between 1980 and 2014. There are type 1, type 2, gestational and secondary diabetes. More than 90% of patients are diagnosed with type 2 diabetes. Type 2 di­abetes is associated with insulin resistance and insulin secretory dysfunction which leads to constantly changing treatment. It is extremely hard to control blood sugar levels effectively for our case’s patient, therefore diabetic complications are present, that are - diabetic nephropathy, diabetic distal symmetrical legs polineuropathy, microangiopathy, macroangiopathy, retinopathy, past myocardial infarc­tion. Obesity increases risk of the type 2 di­abetes and our patient has II° alimentary constitutional obesity. The glycosylated hemoglobin (HbA1c) is recommended to be kept <6.5%, however our patient rarely reaches the recommendations. Diabetes complications severity, complications risk prognostication are valued using the 13-point Disease Complication Severity Index (DCSI). The DCSI comprises diagnostics, pharmacological and laboratory data. Mortality of the patients with dia­betes is higher in comparison with common population which can cause a decrease in the diabetic patients’ mortality in their elder years. WHO protects that diabetes death rate will double in 2030. Diabetes is incurable though manageable disease. It is important to control blood sugar, get the proper treatment, keep regimen which will help to reduce the risk of developing complications and mortality.

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