Sunday, May 24, 2020

Diabetic Microvascular Leading Cause Blindness - 762 Words

Diabetic microvascular complications are the leading cause of blindness, end-stage renal diseases, and other neuropathies due to hypoxia and ischemia in the retina, the kidney, and nerves. Thickening of the capillary basement membrane result in decreased tissue perfusion. Many people with type 2 diabetes present with microvascular complications because of the long duration of asymptomatic hyperglycemia that usually precedes diagnosis (Mccaine and Huther). Diabetic Retinopathy Diabetic retinopathy is the leading cause of blindness globally and in the U.S. adults younger than age 60. It is more common in individual with type 2 diabetes compared to those with type 1 due to long-standing hyperglycemia before diagnosis. Most people with diabetes eventually develops some degree of retinopathy and they are more likely to develop cataracts and glaucoma. The prevalence and severity of retinopathy are strongly related to individual’s age, the duration of diabetes, and the extent of glycemic control. Three stages of the retinopathy leads to vision loss; stage I – non-proliferative is characterized by thickening of the retinal capillary basement membrane and increased retinal capillary permeability, vein dilation, micro-aneurysm formation, and hemorrhages. Stage II – pre-proliferative there is progression of retinal ischemia with areas of inadequate perfusion that result in infarcts. Stage III – proliferative involves neovascularization (a ngiogenesis) and fibrous tissue formation withinShow MoreRelatedDiabetes Mellitus And The Long Term Complications1385 Words   |  6 Pagesbetween type I type II diabetes, the people who are in jeopardy of developing diabetic renal diseases and hypertension due to the complications identifying the general pathogenesis of diabetes mellitus the long term complications that may transpire. 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