Diabetes mellitus type 2 DM II

• Facts:
  Insulin resistance
  
• History / PE:
  Polydipsia
  Polyphagia
  Nonketogenic hypergylcemia
• Diagnosis:
  1.) Fasting plasma glucose >126mg/dL on two occasions OR
  
  2.) Random plasma glucose > 200 mg/dL plus symptoms OR
  
  3.) Two-hour postprandial glucose > 200 mg/dL after a glucose tolerance test on 2 separate occasions
• Treatment:
  Diet, weight loss, and exercise
  Tight glucose control (80-100 mg/dL)
  Hb A1C levels < 7
  Oral Diabetic Agents , Insulin, Incretins, Statins
• Complications:
  Hyperosmolar hyperglycemic state
  Diabetic nephropathy
  Diabetic neuropathy
  Overflow incontinence (detrusor weakness)
• See Also:
  Diabetes mellitus type 1
• Associated With:
  Older patients with truncal obesity