Yesterday, i was told by a friend of mine that cataract can be cause by stacking of sorbitol in eye lens.. (i totally forgot about that when i learnt about cataract last time). yeah, in diabetes patient (usually), the glucose (which is highly concentrated in blood) will follow wherever blood go, even to eye. As eye has a small circulation there, so it can be converted by the enzyme there to become another glucose type called sorbitol. Sorbitol then interfere the lens cells, asking the cells to build up fiber.. these fiber cause ophtalmologist saw 'white thing' in lens (this is called 'opaque' in lens)
stroke & DM type 2.. stroke first then DM? or otherwise?
I got this case for presentation examination. Old guy, 3 hrs before admitted felt weak on right arm & leg, also cannot say a word right. (called it as aphasia?). 2 hs before, the weakness spread to his fingers & toes, making him even difficult to move whole hand & leg of right side. Also, his right face (if i wasn't mistaken) show grimace while his left side show nothing when ask to grim.. the lab result shows abnormal reading for glucose in blood, cholesterol & it fellow.. the physical examination show + pathologic reflex..uh.. I forgot most of the details.. Ah, he never follow the doctor's instruction to take medication..!
In my opinion, the guy's DM problem cause the stroke.. the long story, i don't exactly understand - that's cause my regret for the rest of my life ( i think.)..
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