253. Diabetes physiology

Question 1

When can HBa1C not be used for diagnoses of diabetes?

Answer 1

All children and young people

Pregnancy

Patients on medications that may cause rapid glucose rise e.g. corticosteroids, antipsychotics

acute pancreatic damage

renal failure

HIV

Asymptomatic diabetes- need two HbA1c levels

Question 2

What are the less known types of diabetes?

Answer 2

Maturity onset diabetes in the young- genetic defect

Gestational diabetes- caused by pregnancy

Secondary diabetes- caused by drugs