Diabetes Flashcards
1
Q
HbA1c levels for diabetes
A
48
2
Q
Testing for type 1 diabetes
A
Plasma over urine ketones - more accurate
Insulin plasma levels
C Peptide plasma levels
Type 1 diabetes antibodies
3
Q
Complications
A
Acute : DKA HHS Infections Hypoglycaemia Chronic: Macularvascular -MI Stroke peripheral arterial disease
Micro - retinopathy
Nephropathy
Peripheral neuropathy
Diabetic foot
4
Q
Treatment add on for DM2 with CVD
A
SGLT2 inhibitor - fozin (sodium glucose cotransporter)
They prevent reabsorption of glucose in PCT
With metformin
5
Q
Other drugs
A
Sulphonylureas
DDP4 inhibitors
GLP-1 analogues
6
Q
Hypo guidelines Tx
A
Conscious - glucogel or dextrose
Unconscious - IV / IM glucagon
7
Q
Hyper Tx
A
Rehydrate saline
Insulin
0.1 units / kg / hour
Potassium - low in DKA , pee out what’s in blood - goes up with insulin admission as rest K+ driven into cells so hypokalaemia very quickly as none in blood.
