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Diabetes Mellitus  patients  in dental management Reporter :  吳和泰 Modulator: Dr.  雷文天
Introduction ,[object Object],[object Object]
Epidemiology   ,[object Object],[object Object],[object Object],National Institutes of Health, Aug 2001
國人之糖尿病盛行率
Etiologic classification of DM ,[object Object],[object Object],[object Object],[object Object],JADA, Oct 2001
Type 1  (IDDM) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Type 2  (NIDDM) ,[object Object],[object Object],[object Object],[object Object]
mild beta-cell depletion severe beta-cell depletion   focal atrophy and amyloid deposits marked atrophy and fibrosis   no insulitis insulitis early Islet Cells relative insulin deficiency severe insulin deficiency   insulin resistance autoimmunity,  immunopathologic mechanisms Pathogenesis No HLA association human leukocyte antigen  (HLA)-D linked   ketoacidosis rare ketoacidosis  common Genetics no anti-islet cell antibodies anti-islet cell antibodies   normal or increased blood insulin decreased blood insulin   obesity normal weight   onset  >30  years onset  <20  years Clinical Type 2 Type 1 Comparison
Other specific types ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gestational diabetes mellitus (GDM) ,[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Complications ,[object Object],peripheral vascular atherosclerosis; infections; gangrene Peripherals autonomic neuropathy; peripheral neuropathy Nervous system retinopathy; cataracts; glaucoma Eyes nephrosclerosis; glomerulosclerosis; arteriosclerosis; pyelonephritis Kidneys islet cell loss; insulitis (Type 1); amyloid (Type 2) Pancreas myocardial infarct; atherosclerosis; hypertension; microangiopathy; cerebral vascular infarcts; cerebral hemorrhage Cardiovascular system: heart, brain, blood vessels Long term complications Major organs/systems showing changes
Diagnosis ,[object Object],[object Object],[object Object],[object Object],Diabetes Care, 2000 National Institutes of Health, Aug 2001
Medical management ,[object Object],[object Object]
Medical management ,[object Object],[object Object]
Medical management ,[object Object],[object Object],[object Object]
Oral  manifestations and complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oral  manifestations and complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oral  manifestations and complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oral  manifestations and complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],New Zealand Journal, Jan 1985
Dental management considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dental management considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dental management considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Emergency management ,[object Object],[object Object],[object Object],[object Object]
Emergency management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Emergency management ,[object Object],[object Object],[object Object],[object Object]
Emergency management ,[object Object],[object Object],[object Object],JADA, Oct 2001
Conclusion
Thanks for ur attention !!
 
1.Liver  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],glucose  glucose TG  glycerol-po4 glycerol  +FA glycerol  FA+ALB 2.Adipose glucose glucose 3.Muscle

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Diabetes Mellitus patients in dental management

  • 1. Diabetes Mellitus patients in dental management Reporter : 吳和泰 Modulator: Dr. 雷文天
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  • 8. mild beta-cell depletion severe beta-cell depletion   focal atrophy and amyloid deposits marked atrophy and fibrosis   no insulitis insulitis early Islet Cells relative insulin deficiency severe insulin deficiency   insulin resistance autoimmunity, immunopathologic mechanisms Pathogenesis No HLA association human leukocyte antigen (HLA)-D linked   ketoacidosis rare ketoacidosis common Genetics no anti-islet cell antibodies anti-islet cell antibodies   normal or increased blood insulin decreased blood insulin   obesity normal weight   onset >30 years onset <20 years Clinical Type 2 Type 1 Comparison
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  • 31. Thanks for ur attention !!
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