If all the history and clinical status data indicate the presence of pathological polyuria / polydipsia, the following blood and urine parameters should be investigated on an outpatient basis: serum osmolarity; serum sodium, potassium, calcium,
Category: Hormones
Hormones are biologically active substances of organic nature, produced in specialized cells of the glands of internal secretion, entering the blood that bind to receptors of target cells and exert a regulatory influence on metabolism and physiological functions.
Fluid restriction test
The test with the restriction of liquids allows you to establish the diagnosis of diabetes insipidus and to conduct a differential diagnosis between nephrogenic and central non-diabetes mellitus. The principle of this test is that
Magnetic resonance imaging
Magnetic resonance imaging of the brain is essential in the diagnosis of central diabetes insipidus. Normally, the neurohypophysis is a region of bright glow in T1-weighted images. A bright spot of the neurohypophysis is absent
Minirin treatment regimen
It is recommended to prescribe Minirin (0.1 mg / 0.2 mg) in tablets 30-40 minutes before a meal or 2 hours after a meal. Adequate dose of Minirin is selected mainly during the first 3-4 days
Epidemiology of patients with diabetes mellitus
Arterial hypertension occurs in more than 50% of patients with diabetes mellitus, primarily type 2 diabetes, and is a risk factor for developing coronary heart disease, acute myocardial infarction, cardiac rhythm disturbances, and cardiovascular failure.
Risk factors for diabetes and hypertension
early cardiovascular disease. It is believed that it is visceral obesity that is especially dangerous for the occurrence of the above conditions. Although body mass index (BMI) is a relatively reliable criterion for determining the magnitude of
Increased blood pressure in diabetes mellitus type
In type 1 diabetes, an increase in blood pressure usually develops after 10–15 years from the onset of the disease and is usually caused by diabetic nephropathy, and only in a small percentage of cases
Increased blood pressure in diabetes mellitus type
In type 2 diabetes mellitus, an 80% increase in blood pressure has a longer history that is not directly associated with diabetes, and is often caused by essential hypertension. Arterial hypertension in type 2 DM
Mechanisms of development of arterial hypertension
In the body of patients with diabetes, the sodium content increases by an average of 10%, which is accompanied by an increase in extravascular (interstitial and / or intracellular) fluid volume. At the same time, the
Hyperlipidemia
Arterial hypertension in diabetic patients exacerbates impaired carbohydrate and lipid metabolism. Thus, hypercholesterolemia, obesity, hyperinsulinemia are registered, respectively, in 85%, 75%, 50% of patients. The presence of these basic disorders increases the risk and accelerates the course
Arterial hypertension in diabetic patients exacerbates impaired carbohydrate and lipid metabolism. Thus, hypercholesterolemia, obesity, hyperinsulinemia are registered, respectively, in 85%, 75%, 50% of patients. The presence of these basic disorders increases the risk and accelerates the course