Diabetes Mellitus

Dr David CarmodySpecialist Registrar in Diabetes and EndocrinologySouth 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

711.1

Diagnosis mmol/l

1. Fasting2. 75g OGTT3. 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– 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 non-

insulin 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