Chronic complications of diabetes include: (Select All that Apply.)

Choice A reason: Hepatic tumors, or liver tumors, are not the most common type of cancer in children. While they can occur, they are relatively rare compared to other types of childhood cancers.

Choice B reason: Osteosarcoma is a type of bone cancer that primarily affects children and young adults. However, it is not the most common type of cancer in children. Osteosarcoma typically occurs in the bones around the knee and upper arm.

Choice C reason: Leukemia is the most common type of cancer in children. It affects the blood and bone marrow and can cause symptoms such as fatigue, easy bruising, and frequent infections. There are different types of leukemia, with acute lymphoblastic leukemia (ALL) being the most common in children.

Choice D reason: Brain tumors are the second most common type of cancer in children, but they are not as prevalent as leukemia. Brain tumors can cause symptoms such as headaches, nausea, and vision problems.

Choice A reason: Cataract development is a common issue in people with diabetes due to the high blood sugar levels that affect the lens of the eye. However, it is not the primary cause of visual impairment. Cataracts cause the lens to become cloudy, leading to blurred vision, but the impact is generally less severe compared to the microvascular complications of diabetes.

Choice B reason: Exophthalmos, or bulging of the eye, is not typically associated with diabetes. It is more commonly seen in conditions like Graves' disease, an autoimmune disorder affecting the thyroid. Therefore, while it is important to be aware of various conditions that can impact eye health, exophthalmos is not a primary complication of diabetes.

Choice C reason: Abnormal metabolism in the lens can contribute to the formation of cataracts, but it is not the main reason for diabetic visual impairment. The primary issue in diabetes-related visual impairment is damage to the small blood vessels in the retina, not just changes in the lens metabolism.

Choice D reason: Microvascular changes in the eye, particularly diabetic retinopathy, are the primary cause of visual impairment in people with diabetes. High blood sugar levels can damage the blood vessels in the retina, leading to leakage, swelling, and the formation of new, abnormal blood vessels. This can result in significant vision loss and even blindness if not properly managed. Regular eye examinations and control of blood glucose levels are crucial in preventing and managing diabetic retinopathy.