Management of type 2 diabetes in acute setting.
INTRODUCTION
Diabetes Mellitus is a metabolic….. (def c Albert zimmet 1998). Associated with body resistance to actions of insulin on liver and peripheral tissues e.g. to binding defect genetic mutations of IR , destruction in PKD , increased cellular free fatty acids, intracellular ceramide impaired glucose transports and glycogen synthesis. (GLUT4 )
? hepatic glucose production via glycogenolysis and gluconeogenesis
Symptoms polyuria, polydipsia,
Diabetes is an epidemic, their projections suggesting that the prevalence of this already common diseases will have doubles by 2050 – ( national collaborating entre for chronic conditions 2008) Add public health England estimations – with estimation of 4.9 million people in England will have diabetes by 2035.
Additionally, worldwide 90-95% of people with diabetes have type 2
MAINBODY
CONCLUSION
This experienced scenario/case was chosen as I was managed and care of this patient personally in acute medical unit and was able to take way positive leaning points.
Differential diagnosis to consider when diagnosing and managing diabetes e.g Type 1 and &2 diabetes , Diabetes insipidus , pyogenic polydipsia. (polyurea and polydipsia). Investigations to differentiate cause.