Complications


  • Macrovascular
    – Heart disease
    – Stroke
     
  • Microvascular
    – Retinopathy (Strongest predictor of developing retinopathy =
    Duration of DM)
    – Neuropathy
    – Nephropathy
     
  • Diabetic foot problems
    – Ulcers
    Osteomyelitis - Dx: MRI
    – Charcot foot
     
  • Ketoacidosis and Hyperosmolar hyperglycemia
  • Hypoglycemia
  • Other Complications
    • Dupuytren’s disease prevalence up to 33%*
    • Diabetes is a risk factor for developing necrotizing soft-tissue infections*
    • Perinephric abscess*
      – Fever and persistent flank pain
      – Fever > 4 days after initiation of antibiotics
      *CT for peri-renal fluid or enlargement of psoas muscle
      – Peri-renal gas on CT is diagnostic
      Treatment: drainage and antibiotics
       
    • Fatty liver: 25% progress to cirrhosis
      – Metformin can improve metabolic problems
       
    • Acrochordons* (skin tags) common finding