Diabetes mellitus type 2 natural history, complications, and prognosis: Difference between revisions
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== Natural History == | |||
Type 2 diabetes may go unnoticed for years because visible symptoms are typically mild, non-existent or sporadic, and usually there are no [[Diabetic ketoacidosis|ketoacidotic episodes]]. However, severe long-term complications can result from unnoticed type 2 diabetes, including [[renal failure]] due to [[diabetic nephropathy]], vascular disease (including [[coronary artery disease]]), vision damage due to [[diabetic retinopathy]], loss of sensation or pain due to [[diabetic neuropathy]], and liver damage from [[non-alcoholic steatohepatitis]]. | |||
== Complications == | == Complications == |
Revision as of 18:25, 12 February 2013
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Natural History
Type 2 diabetes may go unnoticed for years because visible symptoms are typically mild, non-existent or sporadic, and usually there are no ketoacidotic episodes. However, severe long-term complications can result from unnoticed type 2 diabetes, including renal failure due to diabetic nephropathy, vascular disease (including coronary artery disease), vision damage due to diabetic retinopathy, loss of sensation or pain due to diabetic neuropathy, and liver damage from non-alcoholic steatohepatitis.
Complications
Unlike Type 1 diabetes, there is little tendency toward ketoacidosis in Type 2 diabetes, though it is not unknown. One effect that can occur is nonketonic hyperglycemia. Complex and multifactorial metabolic changes lead to damage and function impairment of many organs, most importantly the cardiovascular system in both types. This leads to substantially increased morbidity and mortality in both Type 1 and Type 2 patients, but the two have quite different origins and treatments despite the similarity in complications.