Associated diseases with diabetes Flashcards

1
Q

What are the main diseases associated with diabetes mellitus?

A
  • Cystic fibrosis
  • DIDMOAD/Wolfram syndrome
  • Bardet-Biedl syndrome
  • Coeliac disease
  • Thyroid disease
  • Polyglandular endocrinopathy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the common diseases associated with type 1 diabetes?

A
  • Thyroid disease
  • Coeliac
  • Pernicious anaemia
  • Addison’s
  • IgA deficiency
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How common is diabetes in patients with cystic fibrosis?

A

Common

More than 25% have diabetes by the age of 20yrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What therapy is preferred in patients with cystic fibrosis and diabetes?

A

Insulin therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In cystic fibrosis, what should you screen for from the age of 10yrs?

A

Diabetes using OGTT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is another name for DIDMOAD?

A

Wolfram syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the symptoms of Wolfram syndrome?

A
  • Diabetes insipidus
  • Diabetes mellitus
  • Optic atrophy
  • Deafness
  • Neurological abnormalities
  • Renal problems
  • Chronic fatigue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is Wolfram syndrome?

A

A rare genetic condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What doe optic atrophy cause?

A

Colour-blindness and gradual loss of vision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the neurological abnormalities associated with Wolfram syndrome?

A
  • Loss of balance
  • Sudden muscle jerks
  • Loss of taste and smell
  • Depression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the renal problems associated with Wolfram syndrome?

A
  • Bedwetting
  • Needing to pass urine frequently
  • Loss of bladder control
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the treatment of Wolfram syndrome?

A

There is no cure or specific treatment

Treat the symptoms and associated diseases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is Bardet-Biedl syndrome?

A

Autosommal recessive multisystem genetic disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the symptoms of Bardet-Biedl syndrome?

A
  • Often very obese
  • Polydactyl
  • Hypogonadal
  • Visual and hearing impairments
  • Mental retardation
  • Diabetes
  • Consanguineous parents
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Define consangineous parents

A

Parents who are relatives of each other (2nd cousins or closer)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the rare and very rare diseases associated with type 1 diabetes?

A
  • Autoimmune polyglandular syndromes (type 1 and 2)
  • AIRE mutations
  • IPEX syndrome
17
Q

What are the symptoms of coeliac disease?

A
  • Often asymptomatic
  • Bloating
  • Diarrhoea
  • Malabsorption
18
Q

What are the signs of coeliac disease?

A
  • Low albumin
  • Low calcium
  • Anaemia
19
Q

What are the investigations for coeliac disease?

A
  • Anti-TTG antibodies
  • IgA deficiency
  • Duodenal biopsy
20
Q

What are the signs and symptoms of thyroid disease?

A
  • Many can be asymptomatic
  • Family history of thyroid diseases
  • Weight changes
  • Deterioration in HbA1c
  • Hypoglycaemia
21
Q

Which is the rarer form of polyglandular endocrinopathy and when does it present?

A

Type 1 (autosommal recessive)

Presents in childhood

22
Q

What are the symptoms of type 1 polyglandular endocrinopathy?

A
  • Mild immune deficiency (muco-cutaneous candidiasis)
  • Primary hypothyroidism
  • Pernicious anaemia
  • Alopecia
  • (can also be affected by any of the conditions causing type 2)
23
Q

Symptoms of type 2 polyglandular endocrinopathy

A
  • Type 1 diabetes associated with any or all of
    • Addison’s
    • vitiligo
    • primary hypogonadism
    • primary hypothyroidism
    • Coeliac