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Crucigrama Sopa de Letras Hoja de Trabajo
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DM: Chronic Complications & Review

Horizontales
Proliferative diabetic retinopathy
Approach with 80% cure
Retinal lesions secondary to debris or ischemia
Estimated eGFR of <15, uremia, irreversible
Beneficial in patients with T2DM with HF, reduction in morbidity and mortality
Oxidative Stress, Inflammation, Hypertension
Not advised with ACE-I or ARBs, associated with worse renal outcomes
Presence of three or more risk factors; abdominal obesity, HTN, Diabetes, HL, BP
White yellow deposits assoc with vascular leakage seen in Diabetic Retinopathy
Diabetic Nephropathy: Screening at time of diagnosis and once a year
Macroalbuminuria, Glomerulonephropathy
Verticales
Shower of red dots
Pituitary, bitemporal hemianopsia,headaches
RF for Diabetic chronic complications at increased incidence
Microvascular changes are limited to the retina with possible macular edema or ischemia
Mildly decreased eGFR
Diabetic Nephropathy: Screening after first five years
Gold standard fundoscopic examination for diabetic retinopathy
Reduces incidence of retinal vein occlusion, provides beneficial glycemic control
Should be considered in T2DM with CVD or microalbuminuria