Dichter bij diabetes - Bvvde

Inhoud:
Deel 1: Wat is diabetes mellitus? ......................................................................................................7
1. Over diabetes mellitus...............................................................................................................7
1.1 Inleiding ...............................................................................................................................7
1.2 Rol van de alvleesklier .........................................................................................................7
1.3 Type-1-diabetes...................................................................................................................9
1.4 Type-2-diabetes...................................................................................................................9
1.5 Type-3-diabetes...................................................................................................................9
1.6 Zwangerschapsdiabetes •..................................................................................................10
1.7 Prediabetes........................................................................................................................10
2. Het metabool syndroom ..........................................................................................................12
2.1 Inleiding .............................................................................................................................12
2.2 Historisch perspectief.........................................................................................................12
2.3 Definitie..............................................................................................................................14
2.4 Pathogenese......................................................................................................................14
3. OntregeIde diabetes en hijperglijkemie ...................................................................................18
3.1 Inleiding .............................................................................................................................18
3.2 Diabetische ketoacidose ....................................................................................................19
3-3 Hyperosmolair hyperglykemisch non-ketotisch syndroom.................................................19
3.4 Behandeling van hyperglykemische ontregeling................................................................20
4. Hypoglykemie..........................................................................................................................22
4.1 Inleiding .............................................................................................................................22
4.2 Definitie..............................................................................................................................22
4.3 Prevalentie.........................................................................................................................23
4.4 Klinisch beeld.....................................................................................................................23
4.5. Lichaamseigen tegenregulatie ..........................................................................................24
4.6 Oorzaken van hypoglykemie..............................................................................................25
4.7 Hypoglykemie en orale bloedglucoseverlagende middelen ...............................................25
4.8 Hypoglykemie en insulinetherapie .....................................................................................26
4.9 Hypoglykemie corrigeren ...................................................................................................27
4.10 Analyse ............................................................................................................................29
4.11 Preventie.......................................................................................................................30
5. Complicaties............................................................................................................................30
5.1 Inleiding .............................................................................................................................30
5.2 Macrovasculaire complicaties ............................................................................................30
5.3 Diabetische voet ................................................................................................................31
5.4 Microvasculaire complicaties .............................................................................................35
5.5 Diabetische nefropathie .....................................................................................................35
5.6 Diabetische retinopathie ....................................................................................................38
5.7 Diabetische neuropathie ....................................................................................................43
6. Psychologische aspecten........................................................................................................44
6.1 Inleiding .............................................................................................................................44
6.2 Angststoornissen ...............................................................................................................45
6.3 . Depressie.........................................................................................................................46
6.4 Eetstoornissen ...................................................................................................................46
6.5 Cognitief disfunctioneren ...................................................................................................47
6.6 Psychologische expertise voor het eerstelijns diabetesteam .............................................47
Deel 2: Behandeling van diabetes mellitus .....................................................................................48
7. Opsporing en diagnose ..........................................................................................................48
7.1 Inleiding .............................................................................................................................48
7.2 Epidemiologie ....................................................................................................................48