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Precipitating factors:
1. frequent or chronic infections
2. eating too much sweets
3. development of glucose
intolerance during drug
therapy
4. delivery of over 9 lbs infants
5. diet
6. sedentary lifestyle
Predisposing factors:
1. family history of DM
2. obesity
3. Age above 40
Insulin resistance
Insulin production/
decrease secretion of
insulin
Degradation of proteins
Breakdown of fat
Cell starvation
Legend:
Stimulation of hunger mechanism via hypothalamus
Hunger
Green Disease
Process
Violet Signs and
Symptoms
Blue - Factors
Black Complications
Red- -Disease
Orange- Laboratory
POLYPHAGIA
Legend:
Green Disease
Process
Violet Signs and
Symptoms
Blue - Factors
Black Complications
Red- -Disease
Orange- Laboratory
HYPERGLYCEMIA
Nerve Demyelinization
Capillary basement
membrane thickening
GLYCOSURIA
Acidity of urine
NEUROPATHY
Diffuse glomerular
sclerosis
Urethral flora
Paresthesias &
numbness
NEPHROPATHY
Impaired pain
sensation
NON-HEALING
ULCERS
Gangrene
UTI
Delayed wound
healing
Circulating
blood volume
Hypovolemia
HYPOTENSION &
TACHYCARDIA
Vaginitis
POLYURIA &
ALBUMINURIA
Renal failure
End-Stage Renal
Disease
F & E imbalance
Legend:
Green Disease
Process
Violet Signs and
Symptoms
Blue - Factors
Black Complications
Red- -Disease
Orange- Laboratory
Cardiac arrythmias
Tissue
dehydration
DEATH
POLYDIPSIA
Increase viscosity of
blood
Capillary basement
membrane thickening
Thickening of blood
vessel walls
Musculoskeletal effects
Abnormal retinal
vascular permeability
Occlusion of plaque
Scarring
Blood pressure
RETINOPATHY
HYPERTENSION
Blurring of vision
Blindness
blindness
Stroke
Joint contractures
Myocardial
ischemia
Myocardial
infarction
Diminished
peripheral
pulse
Heart Failure
FATIGUE
Breakdown of fat
Weight Loss
Hyperlipidemia
Convulsions
Metabolic acidosis
Formation of fatty
deposits on the
walls of the blood
vessels
Acetone breath
Atherosclerosis
Abdominal pain
Poor appetite
Cellular Potassium
Cardiac arrhythmias
Depressed central
nervous system
Kussmauls respirations
Legend:
Green Disease
Process
Violet Signs and
Symptoms
Blue - Factors
Black Complications
Red- -Disease
Orange- Laboratory
Headache
Coma
Legend:
Green Disease
Process
Violet Signs and
Symptoms
Blue - Factors
Black Complications
Red- -Disease
Orange- Laboratory
Mobilization /
degradation of proteins
Hyperaminoacidemia
Decreased urinary
nitrogen
Dehydration
Cardiac arrhythmias
DEATH
hunger