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Diabetes Mellitus: Management and Therapies

Chapter 416 | Part 12: Endocrinology and Metabolism

KEY CLINICAL POINTS

  • Comprehensive diabetes care includes glycemic control, lifestyle management, and prevention of complications.
  • Individualized glycemic targets (e.g., HbA1c <7%) are essential, with adjustments for elderly or comorbid patients.
  • Insulin therapy is critical for type 1 diabetes and advanced type 2 diabetes, with newer agents like GLP-1RAs and SGLT-2 inhibitors offering cardiovascular benefits.
  • CGM and AID systems improve glycemic control and reduce hypoglycemia risks in type 1 diabetes.
  • Management of acute complications (DKA/HHS) requires fluid resuscitation, insulin, and electrolyte correction.

1. DEFINITION & OVERVIEW

Diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycemia due to defects in insulin secretion, action, or both. Management focuses on glycemic control, complication prevention, and lifestyle modification. The goals include eliminating hyperglycemia-related symptoms, preventing microvascular/macrovacular complications, and enabling a normal lifestyle.

Table 416-1: Guidelines for Ongoing, Comprehensive Medical Care

Individualized glycemic goal and therapeutic plan Blood glucose measurement HbA1c testing Lifestyle management Psychosocial care Complication screening
Shared decision-making CGM/BGM 2–4 times/year Nutrition, exercise, diabetes education Depression/anxi ety screening Annual eye/foot/kidney exams

1.1 Pathophysiology

Type 1 DM: Autoimmune destruction of pancreatic β -cells leading to absolute insulin deficiency. Type 2 DM: Insulin resistance with relative β -cell dysfunction. Gestational diabetes: Hyperglycemia during pregnancy without prior diabetes.

1.2 Clinical Spectrum

DM encompasses a spectrum of conditions with varying etiologies and severity. Management requires individualized approaches based on type, comorbidities, and patient preferences.

2. EPIDEMIOLOGY

Global prevalence of diabetes is rising, with ~9.4% of adults (463 million) affected. Type 2 DM accounts for ~90% of cases. Risk factors include obesity, family history, and metabolic syndrome. Elderly populations face higher risks due to age-related insulin resistance and comorbidities.

2.1 Demographics

Predominant in urban areas; higher prevalence in South Asia and the Pacific. Age-adjusted incidence peaks in middle age, with increasing prevalence in older adults.

2.2 Complications

Microvascular (retinopathy, nephropathy, neuropathy) and macrovascular (CVD, stroke) complications are major contributors to morbidity/mortality.

3. ETIOLOGY & PATHOPHYSIOLOGY

Type 1 DM: Autoimmune destruction of β -cells. Type 2 DM: Insulin resistance with β -cell dysfunction. Genetic predisposition and environmental triggers (e.g., obesity, infections) contribute to pathogenesis.

3.1 Insulin Resistance

Central to type 2 DM, driven by visceral adiposity, inflammation, and hepatic glucose output. Insulin resistance impairs glucose uptake in muscle and adipose tissue.

3.2 β -Cell Dysfunction

Progressive loss of β -cell mass/function due to oxidative stress, lipotoxicity, and immune-mediated damage. GLP-1 and incretin hormones mitigate this.

4. CLINICAL FEATURES

Symptoms include polyuria, polydipsia, weight loss, and fatigue. Chronic complications manifest as neuropathy, retinopathy, and nephropathy. Acute complications (DKA/HHS) present with severe hyperglycemia, ketosis, and metabolic acidosis.

Table 416-7: Laboratory Values in DKA, HHS, and Euglycemic DKA

Parameter DKA HHS Euglycemic DKA
Glucose (mmol/L) 11.1–33.3 33.3–66.6 5.5–13.9
Sodium (mmol/L) 125–135 135–145
Potassium Normal to › Normal Normal to ›
Serum bicarbonate (meq/L) <18 >18 <18
Arterial pH 6.8–7.3 >7.3 6.8–7.3
Serum b-hydroxybutyrate >3.0 <1.0 >3.0

4.1 Chronic Complications

Microvascular: Diabetic retinopathy, nephropathy, neuropathy. Macrovascular: Coronary artery disease, stroke, peripheral artery disease.

4.2 Acute Complications

DKA: Hyperglycemia, ketosis, metabolic acidosis. HHS: Hyperosmolar state without ketosis, severe dehydration, and altered mental status.

5. DIFFERENTIAL DIAGNOSIS

Differentiate DM from other causes of hyperglycemia (e.g., Cushing’s syndrome, pancreatic tumors, drug-induced hyperglycemia). Consider gestational diabetes and other endocrine disorders.

5.1 Non-Diabetic Hyperglycemia

Cushing’s syndrome, hyperthyroidism, acromegaly, and drug-induced (e.g., glucocorticoids, atypical antipsychotics).

5.2 Gestational Diabetes

Screening via OGTT in high-risk pregnancies. Distinguishes from type 2 DM with postpartum resolution.

6. INVESTIGATIONS & DIAGNOSIS

Diagnosis requires fasting plasma glucose, OGTT, or HbA1c. Confirm with repeated testing. Monitor for complications via eye, foot, and kidney exams.

Table 416-4: Glycemic Goals for Adults with Diabetes

Index of Glycemic Control Adults (Nonpregnant) Elderly with Intact Cognition Elderly with Other Serious Comorbidities Elderly with Complex Comorbidities
HbA1c (%) <7.0 <7.0–7.5 <8.0 <8.5
CGM Metrics 70–180 mg/dL 80–180 mg/dL 100–200 mg/dL 120–220 mg/dL
Time below 70 mg/dL <4% <1% 0% 0%
Time below 54 mg/dL <1% <1% 0% 0%
Glucose Variability £36% <33% N/A N/A

6.1 Diagnostic Criteria

FPG ≥ 126 mg/dL, 2-h OGTT ≥ 200 mg/dL, or HbA1c ≥ 48 mmol/mol (6.5%).

6.2 Complication Screening

Annual eye exam, foot exam, and urine albumin-to-creatinine ratio. Monitor for retinopathy, neuropathy, and CKD.

7. MANAGEMENT & TREATMENT

Lifestyle modification (diet, exercise) is foundational. Pharmacologic agents include metformin, GLP-1RAs, SGLT-2 inhibitors, and insulin. Acute management of DKA/HHS requires fluid resuscitation, insulin, and electrolyte correction.

Table 416-6: Agents Used for Treatment of Type 1 or Type 2 Diabetes

Mechanism of Action Examples HbA1c Reduction (%) Advantages Disadvantages Considerations
Biguanides Metformin 1–2 Weight neutral, inexpensive GI side effects Renal insufficiency
SGLT-2 Inhibitors Canagliflozin 0.5–1.0 Renal protective Genital infections Avoid in CKD

7.1 Lifestyle Management

Nutrition therapy, physical activity, and diabetes education are critical. Weight loss goals of 5–7% are recommended for type 2 DM.

7.2 Pharmacologic Agents

Metformin (first-line for type 2 DM), GLP-1RAs (cardiovascular benefits), SGLT-2 inhibitors (kidney protection), and insulin for advanced disease.

7.3 Insulin Therapy

Basal/bolus regimens, CSII, and AID systems. Insulin adjustments based on CGM and BGM data.

8. PROGNOSIS & COMPLICATIONS

Poor glycemic control increases risk of microvascular/macrovacular complications. Mortality from DKA/HHS is <1% with prompt treatment. Long-term complications include retinopathy, nephropathy, and neuropathy.

8.1 Long-Term Outcomes

HbA1c reduction by 1% lowers microvascular risk by 25% and macrovascular risk by 16%. Early intervention improves outcomes.

8.2 Acute Complications

DKA mortality <1% with aggressive management. HHS has higher mortality (up to 15%) due to comorbidities.

9. SPECIAL CONSIDERATIONS

Pregnancy, elderly, and pediatric populations require tailored approaches. Insulin is preferred in pregnancy. Elderly patients need cautious glycemic targets to avoid hypoglycemia.

9.1 Pregnancy

Gestational diabetes management with diet/insulin. Insulin is preferred due to teratogenic risks of oral agents.

9.2 Elderly Patients

Individualized HbA1c targets (<7.5–8.0%) with emphasis on avoiding hypoglycemia. Monitor for frailty and polypharmacy.

10. KEY POINTS & CLINICAL PEARLS

  1. Comprehensive diabetes care integrates glycemic control, lifestyle, and complication prevention. 2. Insulin remains the cornerstone for type 1 and advanced type 2 diabetes. 3. GLP-1RAs and SGLT-2 inhibitors reduce cardiovascular risk. 4. Acute hyperglycemia requires fluid resuscitation and insulin. 5. Individualized glycemic targets are critical to avoid hypoglycemia in vulnerable populations.