INTERNAL MEDICINE CENTER

Zion Women셲 Hospital, Serving with Love

Diabetes is a disease where the blood sugar (glucose) cannot enter into the cells to be used as energy, accumulates in the blood, and is excreted through urine due to the volume of insulin, which is a hormone secreted from the pancreas, decreasing or its strength being weakened.
The ultimate purpose of treating diabetes is to prevent the various symptoms and chronic complications of diabetes so that the person can live a normal life. In order to achieve this, it is important to continuously normalize the blood glucose level.

A blood glucose level of 70 110 럫/럸 is normal while regular tests to detect diabetes is necessary if higher.

Diagnosis Criteria for Diabetes 01. When diabetic symptoms appear and the blood glucose level is over 200mg/dl regardless of the time of day
02. When the fasting blood glucose level (over 8 hours of fasting) is over 126 mg/dl
03. Patients with, according to a glucose tolerance test, a blood glucose level over 200mg/dl after 2 hours of eating, patients who may develop diabetes later on since they are in a stage between a normal state and diabetes, or patients who have a risk of developing a cardiovascular disease as a complication of diabetes
Disorders of Glucose Metabolism 01. Impaired fasting glucose (IFG) when the fasting blood glucose level is over 110mg/dl and below 125 mg/dl
02. Impaired glucose tolerance (IGT) when the blood glucose level for 2 hours is over 140 mg/dl and below 200mg/dl

01. Insulin Dependent Diabetes Mellitus (Type 1 Diabetes)
Type 1 diabetes is caused by insufficient secretion of insulin due to the destruction of insulin secreting cells.

02. Non-insulin Dependent Diabetes Mellitus (Type 2 Diabetes)
Type 2 diabetes is caused by a decrease in insulin secretion or insulin resistance due to obesity or stress. There are many cases in which the condition of diabetes is improved in its early stages by losing weight and increasing muscles through diets and exercise.

03. Gestational Diabetes
Gestational diabetes occurs due to an increase in glucose tolerance during pregnancy and is differentiated from diabetes that was developed before the pregnancy. The condition can be found in 2~3% of pregnancies and can cause fetal macrosomia, congenital anomalies, and stillborn babies if the blood glucose level is not properly managed. If the pregnant patient is obese, hypertensive or has glucose in the urine, a test for gestational diabetes should be taken between 24~28 weeks of pregnancy.

04. Other Forms of Diabetes
Secondary diabetes may occur due to pancreatic diseases, endocrine diseases, certain drugs, chemical substances, insulin or insulin receptor abnormalities, or genetic disorders.

Acute Complications - Hypoglycemia
– Hyperosmolar coma
– Diabetic ketoacidosis (DKA)
Chronic Complications - Cardiovascular diseases
– Diabetic retinopathy
– Diabetic nephrosis
– Diabetic neuralgia
– Diabetic foot

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