Long Term Complications of Diabetes Mellitus

[postlink]http://abcheart.blogspot.com/2011/08/long-term-complications-of-diabetes.html[/postlink]

http://www.youtube.com/watch?v=ZsTSoLhl3Y4endofvid

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Diabetes can affect both large and small blood vessel.

LARGE VESSEL DISEASE:

1. Heart attack or Acute coronary syndrome
2. Stroke
3. Peripheral vascular disease

SMALL VESSEL DISEASE

1. peripheral neuropathy
2. Diabetic retinopathy
3. Diabetic Nephropathy 

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Long Term Complications of Diabetes Mellitus

Symptoms of Diabetes Mellitus

[postlink]http://abcheart.blogspot.com/2011/08/symptoms-of-diabetes-mellitus.html[/postlink]

http://www.youtube.com/watch?v=lGDet0fMSdUendofvid

[starttext]

A key factor to understand is most people with Diabetes Mellitus type 2 are asymptomatic. Explained well by Dr. Webster.

The key symptoms to watch out are:
1. Excessive thirst
2. Increased urination
3. Increased hunger

Other symptoms are:
lack or energy, Fatigue, weight loss etc.

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Symptoms of Diabetes Mellitus

Diabetes Alarming Statistics

[postlink]http://abcheart.blogspot.com/2011/08/diabetes-alarming-statistics.html[/postlink]

http://www.youtube.com/watch?v=fDj8Geb7mVgendofvid

[starttext]

Over 25 million Americans are dianosed with Diabetes Mellitus.

The alarming factor is the percent of people with Pre diabetes.

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Diabetes Alarming Statistics

Diabetes Mellitus Type 2

[postlink]http://abcheart.blogspot.com/2011/08/diabetes-mellitus-type-2.html[/postlink]http://www.youtube.com/watch?v=VLiTbb6MaEUendofvid

[starttext]
The most common form of Diabetes Mellitus in adults is type 2. The basic problem is relative deficiency or resistance to a hormone called Insulin.

Risk factors are obesity and sedentary life style. Genetics has a role to play.

AGE called as advanced glyaction end products are the main factors responsible for organ damage in Diabetes.

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Diabetes Mellitus Type 2

Diabetes Mellitus Type 2 - Basics

[postlink]http://abcheart.blogspot.com/2011/08/diabetes-mellitus-type-2-basics.html[/postlink]

http://www.youtube.com/watch?v=nBJN7DH83HAendofvid

[starttext]

This video explains the basic cell metabolism and the role of insulin in carbohydrate metabolism

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Diabetes Mellitus Type 2 - Basics

Coronary 64 Slice CT Scan

[postlink]http://abcheart.blogspot.com/2011/08/coronary-64-slice-ct-scan.html[/postlink]http://www.youtube.com/watch?v=m2znNPEpPMsendofvid


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Coronary 64 slice CT scan: A novel method to diagnose heart disease at a very early stage. It is still not widely used in clinical practice.

Advantage: It is painless, non invasive.

Disadvantage: Radiation but you are also exposed to radiation in a cardiac catheterization or nuclear cardiac scan. It does not actually identify the blockage!!!

What does it do: It identifies the hardening of the blood vessel and physician calculates what is called the calcium score. Higher the score greater is your risk for heart disease.


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Coronary 64 Slice CT Scan

Nuclear Cardiac Stress Test

[postlink]http://abcheart.blogspot.com/2011/08/nuclear-cardiac-stress-test.html[/postlink]http://www.youtube.com/watch?v=wY347r1gFSgendofvid

[starttext]

Nuclear Cardiac Stress Test: This is another form of stress test to detect heart disease in patient at risk.

The test consists of two parts.

First part: A medicine is given through the I.V to increase the heart rate. A second medicine which binds to the heart muscle is also given. Then you go through a scanner where multiple pictures of your heart is taken.

Second part: After 30 minutes to an hour delayed images are again taken.

CAUTION: You should not smoke, drink coffee, or take certain heart medicines like Nitrate, beta blocker which can interfere with the test results. Ask your doctor specifically about this!!!


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Nuclear Cardiac Stress Test