内分泌系统精品教学（南方医学院）2017糖尿病双语.pdfVIP

Diabetes Mellitus 南⽅医科⼤学珠江医院内分泌科　杨⼒　副主任医师 Department of Endocrinology Second Clinical Medical College of Southern Medical University 1 Diabetes map (IDF 2015) Xu et al. JAMA 2013;310(9):948-958 Diabetes is the world’s leading cause of No.1 Cause of End-stage 4th leading cause of death renal disease 终末期肾衰 Life expectancy decreases by 5~10yr 预期寿命降低5~10年） Blindness and visual Cardiovascular impairment Diabetes disease : 2X to 4X (⼼⾎管疾病 失明和视⼒受损 2~4倍于⾮糖尿病⼈群） Chronic Diabetic Hyperglyceamia Non-traumatic lower-limb Nerve damage in amputations 60% to 70% of patients ⾮外伤原因下肢截肢 Risk of getting strokes is three 60~70%发⽣神经受损 times. 中⻛⻛险增加3倍 Diabetes Statistics. October 1995 (updated 1997). NIDDK publication NIH 96-3926. 3 Foot Ulcers and Amputations Learning Objectives Know the main types of diabetes Understand the causes of diabetes Know the symptoms and complications of diabetes Understand the diagnostic criteria for