0Diabetes Mellitus

Diabetes Mellitus

, Diabetes Mellitus

40 (, ) 4kg

- - - - - - . -

- - - - - -

,

( : mg/dl)

2 (DM)126 200 (IGT)126 140 (IFG)110 140

200mg/dl

: 126 mg/dl

75g 2 2 200 mg/dl !

Hemoglobin A1c 2~3

: 4~6 %

1 4

1) 1 ( ) 75%

2) 2 ( ) 1 , , : , , , , 40 70-80%

3) (Gestational diabetes) 6 24 28 2~4%

1 2

1 2 40 40 . 10% 90%

4) (Impaired glucose tolerance) (Impaired fasting glucose)

(Impaired glucose tolerance) - 2 : 140-199 mg/dL(Impaired fasting glucose) - : 110-125 mg/dL

: , : - , , - , ,

, ,

2/3

CVA risksmyocardial ischaemia, cerebrovascular infarction and renal ischaemiaPost op complications Wound complicationsPoor anastomotic healingtype 1 diabetics Catecholamines, cortisol, GH -> hyperglycaemia

OP risks

( )

( : mg/dl)

110 80 120 120 100 140 140 180 120/80130/80

,

5-10

20

30~ 1Daonil, Amaryl, Diamicron 15Novonum, Prandin , , Glucobay,Basen Glucophage , Avandia

1 2 , , , , , ,

5 ~ 1530 ~ 753 ~ 530 ~402 ~ 34 ~ 61 ~34 ~ 1016 ~ 2430 ~ 602 ~ 1216 ~ 24

50mg/dL 50~70mg/dL 70~120mg/dL 15 120~180mg/dL 30 180mg/dL 45

: 1~2cm , ,

: 110 mg/dL

: 90 ~ 130 mg/dL

:

- X - IV

* .** 90~95% 2 , . . * . : . , , , , .

: 2 . .

, : 2 . : 2 .

: 2 40~60%.* 2 . , , . - , - , , ,

*

*- ** 5% , 30 * 90% , 30 ***

( ) - : , , , diazoxide, indomethacin,, , , - (DM) : , - : phenothiazine, acetazolamide

( ) - : , , , clofibrate - : , , phenylbutazone,sulfonamide, allopurinol - : , , , , guanethidine* 8~11%, 180~250mg/dL, 250~350mg/dL . 45~50mg/dL, 0.9~1.4% .*, , , , * semilente, , , , - iv 10~30

nph, - 4~10

ultralente 1 1 2

- * 45 * , *