ENDOKRINOLOGI dr.F.Z.P
Related Criteria for Diabetes, Nutrition and Endocrinology
Pharmacokinetics of Insulin Preparations
Diagnosis of Gestational Diabetes Mellitus (GDM)
Criteria for the Diagnosis of Diabetes Mellitus
Wagner and the University of Texas Wound Classification
Systems of Diabetic Foot Ulcers
International Clinical Diabetic Retinopathy and Diabetic
Macular Edema Disease Severity Scales
Criteria for the Metabolic Syndrome
Body Mass Index (BMI) Calculator
Pharmacokinetics of Insulin Preparations
Time of Action
Preparation Onset, h Peak, h Effective
Duration, h
Short-acting, subcutaneous
Lispro 150 g carbohydrate
per day) and unlimited physical activity. The subject should
remain seated and should not smoke throughout the test.
Wagner and the University of Texas Wound Classification
Systems of Diabetic Foot Ulcers
Wagner Classification of Diabetic Foot Ulcers
Grade 0: No ulcer in a high risk foot.
Grade 1: Superficial ulcer involving the full skin thickness but not
underlying tissues.
Grade 2: Deep ulcer, penetrating down to ligaments and muscle, but
no bone involvement or abscess formation.
Grade 3: Deep ulcer with cellulitis or abscess formation, often with
osteomyelitis.
Grade 4: Localized gangrene.
Grade 5: Extensive gangrene involving the whole foot.
University of Texas Wound Classification System of Diabetic
Foot Ulcers
Grade I-A: non-infected, non-ischemic superficial ulceration
Grade I-B: infected, non-ischemic superficial ulceration
Grade I-C: ischemic, non-infected superficial ulceration
Grade I-D: ischemic and infected superficial ulceration
Grade II-A: non-infected, non-ischemic ulcer that penetrates to
capsule or bone
Grade II-B: infected, non-ischemic ulcer that penetrates to capsule or
bone
Grade II-C: ischemic, non-infected ulcer that penetrates to capsule or
bone
Grade II-D: ischemic and infected ulcer that penetrates to capsule or
bone
Grade III-A: non-infected, non-ischemic ulcer that penetrates to bone
or a deep abscess
Grade III-B: infected, non-ischemic ulcer that penetrates to bone or a
deep abscess
Grade III-C: ischemic, non-infected ulcer that penetrates to bone or a
deep abscess
Grade III-D: ischemic and infected ulcer that penetrates to bone or a
deep abscess
International Clinical Diabetic Retinopathy and Diabetic
Macular Edema Disease Severity Scales
International Clinical Diabetic Retinopathy Disease Severity
Scale
Proposed Disease Severity Findings Observable upon Dilated
Level Ophthalmoscopy
No apparent retinopathy No abnormalities
Mild nonproliferative diabetic Microaneurysms only
retinopathy
Moderate nonproliferative More than just microaneurysms but
diabetic retinopathy less than severe NPDR
Severe nonproliferative Any of the following:
diabetic retinopathy More than 20 intraretinal
hemorrhages in each of four
quadrants
Definite venous beading in two or
more quadrants
Prominent IRMA in one or more
quadrants
And no signs of proliferative
retinopathy
Proliferative diabetic One or both of the following:
retinopathy Neovascularization
Vitreous/preretinal hemorrhage
IRMA = intraretinal microvascular abnormalities; NPDR =
nonproliferative diabetic retinopathy
International Clinical Diabetic Macular Edema Disease Severity
Scale
Proposed Disease Severity Findings Observable upon
Level Dilated Ophtha