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http://www.endo-dm.org.tw/dia_dir_acaeeme.asp 2006/9/21 2
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1 2 20-40% 8% 2006/9/21 6
2 2006/9/21 7
3 ( non-proliferative diabetic retinopathy NPDR microaneurysm hemorrhage hard exudates cotton wool spot intraretinal microvascular abnormalities venous beading macular edema ( proliferative diabetic retinopathy PDR fibrous scarring 2006/9/21 8
1-2 6-12 3-6 2006/9/21 9
fovea disc diameter laser photocoagulation 2006/9/21 10
2006/9/21 11
microalbuminuria macroalbuminuria overt proteinuria creatinine 2006/9/21 12
3-6 3 2 24 8 2006/9/21 13
/ 30 mg/g / 30-299 mg/g 300 mg/g 2006/9/21 14
angiotensin-converting enzyme inhibitor ACEI angiotensin II receptor blocker ARB 1-2 130/80 mmhg 2006/9/21 15
2006/9/21 16
2-4 2 2006/9/21 17
130/80 mmhg 130/80 mmhg 2006/9/21 18
thiazide * * 2006/9/21 19
2 2006/9/21 20
1 statin 100 mg/dl 40 100 mg/dl 174 mg/dl statin 40 statin ( ) 2006/9/21 21
2 150 mg/dl 40 mg/dl fibrate 500 mg/dl ezetimibe nicotinic acid -3 2006/9/21 22
aspirin aspirin aspirin aspirin aspirin 2006/9/21 23
2006/9/21 24
1 2006/9/21 25
2 30 2006/9/21 26
3 associated pain gabapentin angioplasty 2006/9/21 27
-1 5.07/10 g Semmes Weinstein Monofilament 2006/9/21 28
-2 ankle-brachial index 2006/9/21 29
2006/9/21 30
neuropathic ischemic ulcer ulcer 2006/9/21 31
pressurereleasing cast debridement swab 2006/9/21 32
2 1 1 1 6 5 A1c 2006/9/21 33
2 www.endo-dm.org.tw/dia_dir_acaeeme.asp 2006/9/21 34
Thanks for your attention 2006/9/21 35