Introduction
  Evaluation
  Short of breath
  Too tired
  The dwindles
  Weight loss
  Healing
  Chemotherapy
  Mom to be
  Very sociable
 
   Thanks To
   Quiz
 
 
 
 Mark W. Braun, MD
 braunm@indiana.edu

 
   Nutrition and Diagnosis-Related Care

 

 
 

First and foremost, diabetes is a vascular disease. (Repeat this 20 times)
  • That is, diabetes is a small vessel vascular disease with an endocrinologic and metabolic component.
  • The endocrine part is related to either faulty insulin manufacture and release (Type 1) or end-organ resistance (Type 2). This leads to metabolic problems of :
    • Glucose
    • Lipids and even
    • Proteins

But it's the small vessel narrowing and resulting tissue damage that leads to so many of the long term problems.

  • Mrs. Six-Killer's kidney failure
    • This indirectly leads to her anemia and
    • Problems of fluid retention
    • Esophagitis, pericarditis and pleuritis.
  • Her lack of appetite and sense of bloating.
  • In time it will doubtless lead to an amputation of foot, and increases a risk of her having a stroke or heart attack.
  • All of these problems are due to the highly reactive nature of the glucose molecule.

Let's briefly consider what's happened to her kidneys.

 
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