SlideShare une entreprise Scribd logo
1  sur  33
Diabetes Mellitus  patients  in dental management Reporter :  吳和泰 Modulator: Dr.  雷文天
Introduction ,[object Object],[object Object]
Epidemiology   ,[object Object],[object Object],[object Object],National Institutes of Health, Aug 2001
國人之糖尿病盛行率
Etiologic classification of DM ,[object Object],[object Object],[object Object],[object Object],JADA, Oct 2001
Type 1  (IDDM) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Type 2  (NIDDM) ,[object Object],[object Object],[object Object],[object Object]
mild beta-cell depletion severe beta-cell depletion   focal atrophy and amyloid deposits marked atrophy and fibrosis   no insulitis insulitis early Islet Cells relative insulin deficiency severe insulin deficiency   insulin resistance autoimmunity,  immunopathologic mechanisms Pathogenesis No HLA association human leukocyte antigen  (HLA)-D linked   ketoacidosis rare ketoacidosis  common Genetics no anti-islet cell antibodies anti-islet cell antibodies   normal or increased blood insulin decreased blood insulin   obesity normal weight   onset  >30  years onset  <20  years Clinical Type 2 Type 1 Comparison
Other specific types ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gestational diabetes mellitus (GDM) ,[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Complications ,[object Object],peripheral vascular atherosclerosis; infections; gangrene Peripherals autonomic neuropathy; peripheral neuropathy Nervous system retinopathy; cataracts; glaucoma Eyes nephrosclerosis; glomerulosclerosis; arteriosclerosis; pyelonephritis Kidneys islet cell loss; insulitis (Type 1); amyloid (Type 2) Pancreas myocardial infarct; atherosclerosis; hypertension; microangiopathy; cerebral vascular infarcts; cerebral hemorrhage Cardiovascular system: heart, brain, blood vessels Long term complications Major organs/systems showing changes
Diagnosis ,[object Object],[object Object],[object Object],[object Object],Diabetes Care, 2000 National Institutes of Health, Aug 2001
Medical management ,[object Object],[object Object]
Medical management ,[object Object],[object Object]
Medical management ,[object Object],[object Object],[object Object]
Oral  manifestations and complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oral  manifestations and complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oral  manifestations and complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oral  manifestations and complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],New Zealand Journal, Jan 1985
Dental management considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dental management considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dental management considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Emergency management ,[object Object],[object Object],[object Object],[object Object]
Emergency management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Emergency management ,[object Object],[object Object],[object Object],[object Object]
Emergency management ,[object Object],[object Object],[object Object],JADA, Oct 2001
Conclusion
Thanks for ur attention !!
 
1.Liver  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],glucose  glucose TG  glycerol-po4 glycerol  +FA glycerol  FA+ALB 2.Adipose glucose glucose 3.Muscle

Contenu connexe

Tendances

Pulp vitality test new
Pulp vitality test newPulp vitality test new
Pulp vitality test new
suraj nair
 
DENTAL CASE HISTORY (DEMOGRAPHIC DATA ,CHIEF COMPLAINT,HOPI)
DENTAL CASE HISTORY (DEMOGRAPHIC DATA ,CHIEF COMPLAINT,HOPI)DENTAL CASE HISTORY (DEMOGRAPHIC DATA ,CHIEF COMPLAINT,HOPI)
DENTAL CASE HISTORY (DEMOGRAPHIC DATA ,CHIEF COMPLAINT,HOPI)
edsbaba
 
Inferior Alveolar Nerve Block
Inferior Alveolar Nerve BlockInferior Alveolar Nerve Block
Inferior Alveolar Nerve Block
shabeel pn
 

Tendances (20)

ANUG
ANUGANUG
ANUG
 
Dental Management of Ischemic Heart Diseases
Dental Management of Ischemic Heart DiseasesDental Management of Ischemic Heart Diseases
Dental Management of Ischemic Heart Diseases
 
Impaction
Impaction Impaction
Impaction
 
red and white lesions of oral cavity
red and white lesions of oral cavityred and white lesions of oral cavity
red and white lesions of oral cavity
 
Pulp vitality test new
Pulp vitality test newPulp vitality test new
Pulp vitality test new
 
Balanced occlusion
Balanced occlusionBalanced occlusion
Balanced occlusion
 
Regressive alterations of teeth
Regressive alterations of teethRegressive alterations of teeth
Regressive alterations of teeth
 
Posterior superior alveolar (psa) nerve block
Posterior superior alveolar (psa) nerve blockPosterior superior alveolar (psa) nerve block
Posterior superior alveolar (psa) nerve block
 
Dental caries
Dental cariesDental caries
Dental caries
 
Periodontal Case History
Periodontal Case HistoryPeriodontal Case History
Periodontal Case History
 
Dental Patients with Liver Disease
Dental Patients with Liver DiseaseDental Patients with Liver Disease
Dental Patients with Liver Disease
 
Prognosis in periodontics
Prognosis in periodonticsPrognosis in periodontics
Prognosis in periodontics
 
DENTAL CASE HISTORY (DEMOGRAPHIC DATA ,CHIEF COMPLAINT,HOPI)
DENTAL CASE HISTORY (DEMOGRAPHIC DATA ,CHIEF COMPLAINT,HOPI)DENTAL CASE HISTORY (DEMOGRAPHIC DATA ,CHIEF COMPLAINT,HOPI)
DENTAL CASE HISTORY (DEMOGRAPHIC DATA ,CHIEF COMPLAINT,HOPI)
 
Complications of Local Anesthesia
Complications of Local AnesthesiaComplications of Local Anesthesia
Complications of Local Anesthesia
 
Denture Stomatitis
Denture StomatitisDenture Stomatitis
Denture Stomatitis
 
Local Anesthesia in Dentistry
Local Anesthesia in DentistryLocal Anesthesia in Dentistry
Local Anesthesia in Dentistry
 
Complications of teeth extraction
Complications of teeth extractionComplications of teeth extraction
Complications of teeth extraction
 
Inferior Alveolar Nerve Block
Inferior Alveolar Nerve BlockInferior Alveolar Nerve Block
Inferior Alveolar Nerve Block
 
Mpds (Myofacial pain dysfunction syndrome)
Mpds (Myofacial pain dysfunction syndrome)Mpds (Myofacial pain dysfunction syndrome)
Mpds (Myofacial pain dysfunction syndrome)
 
space infection
space infectionspace infection
space infection
 

En vedette

Diabetes mellitus & oral surgery
Diabetes mellitus & oral surgeryDiabetes mellitus & oral surgery
Diabetes mellitus & oral surgery
kamini singh
 
Management of a diabetic patient in dental office
Management of a diabetic patient in dental officeManagement of a diabetic patient in dental office
Management of a diabetic patient in dental office
lalola
 
Diabetes mealitus &periodontal disease
Diabetes mealitus &periodontal diseaseDiabetes mealitus &periodontal disease
Diabetes mealitus &periodontal disease
Sarunsej Tnnhwong
 
Diabetes and periodontitis
Diabetes and periodontitisDiabetes and periodontitis
Diabetes and periodontitis
Sanniya Gul
 
DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT DENTAL MANAGEMENT OF...
DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT 	 DENTAL MANAGEMENT OF...DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT 	 DENTAL MANAGEMENT OF...
DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT DENTAL MANAGEMENT OF...
MedicineAndFamily
 
Management of medical emergencies in the dental practice
Management of medical emergencies in the dental practiceManagement of medical emergencies in the dental practice
Management of medical emergencies in the dental practice
Kanika Manral
 
Dental management of medically compromized patients
Dental management of medically compromized patientsDental management of medically compromized patients
Dental management of medically compromized patients
Usama Madany
 
Medical emergencies dental office
Medical emergencies dental officeMedical emergencies dental office
Medical emergencies dental office
Manasa Ambati
 

En vedette (13)

Diabetes mellitus & oral surgery
Diabetes mellitus & oral surgeryDiabetes mellitus & oral surgery
Diabetes mellitus & oral surgery
 
Oral Complications of Diabetes
Oral Complications of DiabetesOral Complications of Diabetes
Oral Complications of Diabetes
 
Management of a diabetic patient in dental office
Management of a diabetic patient in dental officeManagement of a diabetic patient in dental office
Management of a diabetic patient in dental office
 
Diabetes mealitus &periodontal disease
Diabetes mealitus &periodontal diseaseDiabetes mealitus &periodontal disease
Diabetes mealitus &periodontal disease
 
Diabetes and periodontitis
Diabetes and periodontitisDiabetes and periodontitis
Diabetes and periodontitis
 
Diabetes mellitus & Periodontium
Diabetes mellitus & PeriodontiumDiabetes mellitus & Periodontium
Diabetes mellitus & Periodontium
 
Diabetes and periodontal disease ,at two way relationship
Diabetes and periodontal disease ,at two way relationshipDiabetes and periodontal disease ,at two way relationship
Diabetes and periodontal disease ,at two way relationship
 
DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT DENTAL MANAGEMENT OF...
DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT 	 DENTAL MANAGEMENT OF...DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT 	 DENTAL MANAGEMENT OF...
DENTAL MANAGEMENT OF THE MEDICALLY COMPROMISED PATIENT DENTAL MANAGEMENT OF...
 
Management of medical emergencies in the dental practice
Management of medical emergencies in the dental practiceManagement of medical emergencies in the dental practice
Management of medical emergencies in the dental practice
 
Management of medically compromised patients
Management of medically compromised patientsManagement of medically compromised patients
Management of medically compromised patients
 
HYPERTENSION & ITS MANAGEMENT IN DENTISTRY
HYPERTENSION & ITS MANAGEMENT IN DENTISTRYHYPERTENSION & ITS MANAGEMENT IN DENTISTRY
HYPERTENSION & ITS MANAGEMENT IN DENTISTRY
 
Dental management of medically compromized patients
Dental management of medically compromized patientsDental management of medically compromized patients
Dental management of medically compromized patients
 
Medical emergencies dental office
Medical emergencies dental officeMedical emergencies dental office
Medical emergencies dental office
 

Similaire à Diabetes Mellitus patients in dental management

Diabetes and Dentistry Presentation by Dr Ali.pptx
Diabetes and Dentistry Presentation by Dr Ali.pptxDiabetes and Dentistry Presentation by Dr Ali.pptx
Diabetes and Dentistry Presentation by Dr Ali.pptx
AliImran571619
 
Diabetes and Glucose Metabolism
Diabetes and Glucose MetabolismDiabetes and Glucose Metabolism
Diabetes and Glucose Metabolism
Patrick Carter
 
Diabetes melitus by dr aftab ahmed
Diabetes melitus by dr aftab ahmedDiabetes melitus by dr aftab ahmed
Diabetes melitus by dr aftab ahmed
aaiman46
 
Diabetes Mellitus
Diabetes MellitusDiabetes Mellitus
Diabetes Mellitus
Khalid
 
SEMINAR PRESENTATION.pptx dmmm.pptx
SEMINAR PRESENTATION.pptx dmmm.pptxSEMINAR PRESENTATION.pptx dmmm.pptx
SEMINAR PRESENTATION.pptx dmmm.pptx
MebratGebreyesus
 
C:\documents and settings\administrator\桌面\35 ndiabetes mellitus
C:\documents and settings\administrator\桌面\35 ndiabetes mellitusC:\documents and settings\administrator\桌面\35 ndiabetes mellitus
C:\documents and settings\administrator\桌面\35 ndiabetes mellitus
internalmed
 

Similaire à Diabetes Mellitus patients in dental management (20)

Diabetes and Dentistry Presentation by Dr Ali.pptx
Diabetes and Dentistry Presentation by Dr Ali.pptxDiabetes and Dentistry Presentation by Dr Ali.pptx
Diabetes and Dentistry Presentation by Dr Ali.pptx
 
Surgery in diabetes patients Dr nesar Ahmad
Surgery in diabetes patients   Dr nesar AhmadSurgery in diabetes patients   Dr nesar Ahmad
Surgery in diabetes patients Dr nesar Ahmad
 
Diabetes mellitus
Diabetes mellitusDiabetes mellitus
Diabetes mellitus
 
Dental Management Of Diabetic Patients By Dr Wid Al Kindi872
Dental Management Of Diabetic Patients By Dr Wid Al Kindi872Dental Management Of Diabetic Patients By Dr Wid Al Kindi872
Dental Management Of Diabetic Patients By Dr Wid Al Kindi872
 
Diabetes and Glucose Metabolism
Diabetes and Glucose MetabolismDiabetes and Glucose Metabolism
Diabetes and Glucose Metabolism
 
Diabetes and oral health 2020
Diabetes and oral health 2020Diabetes and oral health 2020
Diabetes and oral health 2020
 
diabetes-mellitus3143.pptx
diabetes-mellitus3143.pptxdiabetes-mellitus3143.pptx
diabetes-mellitus3143.pptx
 
Diabetes mellitus.PPTX
Diabetes mellitus.PPTXDiabetes mellitus.PPTX
Diabetes mellitus.PPTX
 
Dm 1 1
Dm 1 1Dm 1 1
Dm 1 1
 
ANAESTHESIA FOR PATIENT WITH DIABETES MELLITUS
ANAESTHESIA FOR PATIENT WITH DIABETES MELLITUSANAESTHESIA FOR PATIENT WITH DIABETES MELLITUS
ANAESTHESIA FOR PATIENT WITH DIABETES MELLITUS
 
DIABETES MELLITUS by dr aftab ahmed
DIABETES  MELLITUS by dr aftab ahmedDIABETES  MELLITUS by dr aftab ahmed
DIABETES MELLITUS by dr aftab ahmed
 
Diabetes melitus by dr aftab ahmed
Diabetes melitus by dr aftab ahmedDiabetes melitus by dr aftab ahmed
Diabetes melitus by dr aftab ahmed
 
Diabetes Mellitus
Diabetes MellitusDiabetes Mellitus
Diabetes Mellitus
 
Pathophysiology of diabetes mellitus
Pathophysiology of diabetes mellitusPathophysiology of diabetes mellitus
Pathophysiology of diabetes mellitus
 
Determination of Blood Glucose Using Glusose Oxidase-Peroxidase Method
Determination of Blood Glucose Using Glusose Oxidase-Peroxidase MethodDetermination of Blood Glucose Using Glusose Oxidase-Peroxidase Method
Determination of Blood Glucose Using Glusose Oxidase-Peroxidase Method
 
Diabetes Mellitus
Diabetes MellitusDiabetes Mellitus
Diabetes Mellitus
 
SEMINAR PRESENTATION.pptx dmmm.pptx
SEMINAR PRESENTATION.pptx dmmm.pptxSEMINAR PRESENTATION.pptx dmmm.pptx
SEMINAR PRESENTATION.pptx dmmm.pptx
 
Diabetes mellitus
Diabetes mellitusDiabetes mellitus
Diabetes mellitus
 
C:\documents and settings\administrator\桌面\35 ndiabetes mellitus
C:\documents and settings\administrator\桌面\35 ndiabetes mellitusC:\documents and settings\administrator\桌面\35 ndiabetes mellitus
C:\documents and settings\administrator\桌面\35 ndiabetes mellitus
 
Diabetes Mellitus
Diabetes MellitusDiabetes Mellitus
Diabetes Mellitus
 

Plus de MedicineAndFamily

Dental Implant Reliability Improvement
Dental Implant Reliability ImprovementDental Implant Reliability Improvement
Dental Implant Reliability Improvement
MedicineAndFamily
 
Nitrous Oxide Sedation in Pediatric Dentistry
Nitrous Oxide Sedation in Pediatric DentistryNitrous Oxide Sedation in Pediatric Dentistry
Nitrous Oxide Sedation in Pediatric Dentistry
MedicineAndFamily
 
Emergency In Dentistry Part 1
Emergency In Dentistry Part 1Emergency In Dentistry Part 1
Emergency In Dentistry Part 1
MedicineAndFamily
 
Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... Eviden...
Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... 	 Eviden...Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... 	 Eviden...
Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... Eviden...
MedicineAndFamily
 
Recent Developments in the Treatment of Hypertension Recent Developments in...
Recent Developments in the Treatment of Hypertension 	 Recent Developments in...Recent Developments in the Treatment of Hypertension 	 Recent Developments in...
Recent Developments in the Treatment of Hypertension Recent Developments in...
MedicineAndFamily
 
Subcutaneous emphysema as a complication of tooth extraction Subcutaneous e...
Subcutaneous emphysema as a complication of tooth extraction 	 Subcutaneous e...Subcutaneous emphysema as a complication of tooth extraction 	 Subcutaneous e...
Subcutaneous emphysema as a complication of tooth extraction Subcutaneous e...
MedicineAndFamily
 
The Long QT Syndrome: Overview and Management The Long QT Syndrome: Overvie...
The Long QT Syndrome: Overview and Management 	 The Long QT Syndrome: Overvie...The Long QT Syndrome: Overview and Management 	 The Long QT Syndrome: Overvie...
The Long QT Syndrome: Overview and Management The Long QT Syndrome: Overvie...
MedicineAndFamily
 
Dental Care of the Future: Part I
Dental Care of the Future: Part IDental Care of the Future: Part I
Dental Care of the Future: Part I
MedicineAndFamily
 
Community Dentistry Years I - IV
Community Dentistry Years I - IVCommunity Dentistry Years I - IV
Community Dentistry Years I - IV
MedicineAndFamily
 
Preventive Dentistry Lecture Cde Course
Preventive Dentistry Lecture Cde CoursePreventive Dentistry Lecture Cde Course
Preventive Dentistry Lecture Cde Course
MedicineAndFamily
 
Minimal Intervention Dentistry – The Challenge for Materials
Minimal Intervention Dentistry – The Challenge for MaterialsMinimal Intervention Dentistry – The Challenge for Materials
Minimal Intervention Dentistry – The Challenge for Materials
MedicineAndFamily
 
ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...
ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...
ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...
MedicineAndFamily
 
Restorative and Esthetic Dentistry
Restorative and Esthetic DentistryRestorative and Esthetic Dentistry
Restorative and Esthetic Dentistry
MedicineAndFamily
 

Plus de MedicineAndFamily (20)

Dental Implant Reliability Improvement
Dental Implant Reliability ImprovementDental Implant Reliability Improvement
Dental Implant Reliability Improvement
 
Dental Radiography Safety
Dental Radiography SafetyDental Radiography Safety
Dental Radiography Safety
 
Nitrous Oxide Sedation in Pediatric Dentistry
Nitrous Oxide Sedation in Pediatric DentistryNitrous Oxide Sedation in Pediatric Dentistry
Nitrous Oxide Sedation in Pediatric Dentistry
 
Primary angioplasty
Primary angioplastyPrimary angioplasty
Primary angioplasty
 
Emergency In Dentistry Part 1
Emergency In Dentistry Part 1Emergency In Dentistry Part 1
Emergency In Dentistry Part 1
 
Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... Eviden...
Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... 	 Eviden...Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... 	 Eviden...
Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... Eviden...
 
How to Use Dental Floss
How to Use Dental FlossHow to Use Dental Floss
How to Use Dental Floss
 
Face Eye Trauma
Face Eye TraumaFace Eye Trauma
Face Eye Trauma
 
Dental Caries
Dental CariesDental Caries
Dental Caries
 
Recent Developments in the Treatment of Hypertension Recent Developments in...
Recent Developments in the Treatment of Hypertension 	 Recent Developments in...Recent Developments in the Treatment of Hypertension 	 Recent Developments in...
Recent Developments in the Treatment of Hypertension Recent Developments in...
 
Subcutaneous emphysema as a complication of tooth extraction Subcutaneous e...
Subcutaneous emphysema as a complication of tooth extraction 	 Subcutaneous e...Subcutaneous emphysema as a complication of tooth extraction 	 Subcutaneous e...
Subcutaneous emphysema as a complication of tooth extraction Subcutaneous e...
 
Psychology in Dentistry
Psychology in DentistryPsychology in Dentistry
Psychology in Dentistry
 
The Long QT Syndrome: Overview and Management The Long QT Syndrome: Overvie...
The Long QT Syndrome: Overview and Management 	 The Long QT Syndrome: Overvie...The Long QT Syndrome: Overview and Management 	 The Long QT Syndrome: Overvie...
The Long QT Syndrome: Overview and Management The Long QT Syndrome: Overvie...
 
Dental Care of the Future: Part I
Dental Care of the Future: Part IDental Care of the Future: Part I
Dental Care of the Future: Part I
 
Community Dentistry Years I - IV
Community Dentistry Years I - IVCommunity Dentistry Years I - IV
Community Dentistry Years I - IV
 
Preventive Dentistry Lecture Cde Course
Preventive Dentistry Lecture Cde CoursePreventive Dentistry Lecture Cde Course
Preventive Dentistry Lecture Cde Course
 
Minimal Intervention Dentistry – The Challenge for Materials
Minimal Intervention Dentistry – The Challenge for MaterialsMinimal Intervention Dentistry – The Challenge for Materials
Minimal Intervention Dentistry – The Challenge for Materials
 
ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...
ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...
ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...
 
Dental Anatomy
Dental AnatomyDental Anatomy
Dental Anatomy
 
Restorative and Esthetic Dentistry
Restorative and Esthetic DentistryRestorative and Esthetic Dentistry
Restorative and Esthetic Dentistry
 

Dernier

🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Sheetaleventcompany
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
adilkhan87451
 

Dernier (20)

Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
 
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated  Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...Top Rated  Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
 

Diabetes Mellitus patients in dental management

  • 1. Diabetes Mellitus patients in dental management Reporter : 吳和泰 Modulator: Dr. 雷文天
  • 2.
  • 3.
  • 5.
  • 6.
  • 7.
  • 8. mild beta-cell depletion severe beta-cell depletion   focal atrophy and amyloid deposits marked atrophy and fibrosis   no insulitis insulitis early Islet Cells relative insulin deficiency severe insulin deficiency   insulin resistance autoimmunity, immunopathologic mechanisms Pathogenesis No HLA association human leukocyte antigen (HLA)-D linked   ketoacidosis rare ketoacidosis common Genetics no anti-islet cell antibodies anti-islet cell antibodies   normal or increased blood insulin decreased blood insulin   obesity normal weight   onset >30 years onset <20 years Clinical Type 2 Type 1 Comparison
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 31. Thanks for ur attention !!
  • 32.  
  • 33.