( Diabetes Mellitus Session 5) Complications of DM
Dr. Walaa Sarhan Dr. Walaa Sarhan
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 Published On Jun 8, 2019

Complications of DM
1. Acute Complications:
A. Hyperosmolar Hyperglycaemic syndrome (HHS)
B. Diabetic Ketoacidosis (DKA)

2. Chronic Complications:
A. Microvasular ( daibetic cadiomyopathy, daibetic nephropathy, daibetic neuropathy, daibetic retinopathy, daibetic encephalopathy)
B. Macrovascular ( stroke, coronary artery disease, myonecrosis, diabetic foot)

*** Pathogenesis of microvascular complications:
1. polyol pathway
2. Advanced Glycation End Products ( AGE)
3. Ptotein Kinase C ( PK C) activation
4. Oxidative Stress
5. Hexosamine pathway
6. Growth Factors & cytokines

** Pathogenesis of macrovascular complications:
1. Atheroscelerosis
2. Hypercoagulability

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