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13.1.11

Complications of Diabetes-Signs


I.Skin Complications:
-pruritus (for exemple pruritus vulvae).
-infections: multiple furuncles and carbuncle.
-fungus infection (for exemple in ano-genital region and toes).
-necrobiosis diabeticorum (reddish painful papules appearing on the shins of tibia and later as ulcerate and heal by scar.
-carotinamia: yallow colouration over the palms due to excessive intake of vegetables.
-insulin lipodystrophy (small dent in the skin that forms when a person keeps performing injection in the same place).

II.Cardiovascular Complications:
-atheroclerosis: cerebral,coronary (infarction even sudden death),ischemia,gangrene.

III.Neurological Complications:
Cerebral:
-coma
-cerebral atherosclerosis and trombosis.
Spinal Cord:
-diabetic lateral sclerosis.
-transverse myelitis (disease caused by inflammatory process of the spinal cord).
-anterior or posterior spinal artery occlusion.
Neuropathy:
-senzory:deep and superficial.
-autonomic: urinary incontinence,impotence and diarrhoea,postural hypotension,increase sweating.
-cranial: optic neuritis (inflammation of the optic nerve that may cause a complete or partial loss of vision).

IV.Urinary Complications:
-infections: cydtitis.
-kidney stones.

V.Ocular Complications:
-infections:conjunctivitis.
-diabetic retinophatyin juvenil and long standing cases.
-diabetic cataract.
-nervous complications of the eye.

VI.Respiratory Complications:
-pulmonary inferctions,tuberculosis
-acetone odour during ketosis.

VII.Gastro-intestinal Complications:
-beefy tongue
-gingivitis and dental caries are common
-dyspepsia
-nausea,vomiting and abdominal pain during ketosis
-diarrhoea
-fatty liver
-gall stones.

VIII.Genital Complications:
-in males impotence
-in females: menorrhagia (abnormally heavy and prolonged menstrual period),sterility,pruritus vulvae and skin infections,abortion,premature labour,delivery of big babies.