Diabetes Mellitus
Dr David Carmody
Specialist Registrar in Diabetes and Endocrinology
South Infirmary Victoria University Hospital
How Common Now
How Common 2025
Who Cares
Introduction 2
• Association between Diabetes and CVS
• INSERT Graph x 1
What must I know?
• Diagnosis
• Types/ Causes
• Treatments
• Complications
What must I know?
• Diagnosis
• Types/ Causes
• Treatments
• Complications
Diagnosis mmol/l
7
11.1
Diagnosis mmol/l
1. Fasting
2. 75g OGTT
3. Random
Greater than or equal to!!!
What must I know?
• Diagnosis
• Types/ Causes
• Treatments
• Complications
Types
• Type 1
• Type 2
• Genetic defects
– MODY
• Gestational
• Drugs
• Pancreatic disease
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–
–
–
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Tumour
Infection
Trauma
Haemachromatosis
CF
Surgeons
• Endocrinopathies
“I used to have non-insulin dependent diabetes
mellitus but now I am on insulin. My endocrine
doctor says I now have insulin dependent noninsulin dependent diabetes mellitus....”
Insulin Resistance
Beta cell failure
What must I know?
• Diagnosis
• Types/ Causes
• Treatments
• Complications
Type 1
Insulins
• Once Daily
• Mixed Insulin
• Once Daily and Meal
time
• Pumps
Type 2
Tried, trusted and cheap as chips
• Metformin
• Gliclazide MR
New Drugs
• Exenatide
• Liraglitide
Insulins
• Once Daily
• Mixed Insulin
• Once Daily and Meal
time
• Pumps
What must I know?
• Diagnosis
• Types/ Causes
• Treatments
• Complications
UKPDS- Type 2
DCCT- Type 1
I’ve learned something today
• Diagnosis
• Types/ Causes
• Treatments
• Complications