- Susceptibility to diabetic microvascular complications refers to the predisposition in people with diabetes to developing complications related to microvessels, such as the retina, kidneys, and peripheral nerves.
- Related factors include the duration of diabetes and the status of blood glucose control, and blood pressure, dyslipidemia, smoking, renal function, and individual biological differences can also exert an influence.
- Persistent hyperglycemia can cause metabolic and inflammatory changes in vascular and nerve tissues, potentially damaging microvascular function and organ structure.
- Representative clinical manifestations include diabetic retinopathy, kidney damage that may be accompanied by albuminuria, and diabetic peripheral neuropathy.
- The risk of complications varies individually depending on the control status of blood glucose, blood pressure, and lipids, the type and duration of diabetes, age, comorbidities, and lifestyle factors.
- In the early stages, there may be no symptoms, but as it progresses, problems such as decreased vision, edema, decreased sensation or pain, and delayed wound healing may appear depending on the affected organs.
- Diagnostic evaluation is conducted based on medical history and physical examination, involving eye exams, urine albumin and kidney function assessment, and foot and peripheral nerve examinations, tailored to the level of risk.
- Since the cause or rate of progression of complications cannot be determined by a single test result alone, transient changes and the influence of other diseases must be considered together.
- The broad framework of management involves comprehensively controlling blood glucose, blood pressure, and lipid risks, while continuing smoking cessation, foot care, and regular screening for affected organs.
- Rather than always reversing damage that has already occurred, treatment focuses on reducing risk factors and slowing the progression of complications and additional damage.