Diabetes

Question 1

What are the two types of diabetes

Answer 1

1 and 2

Question 2

What is type 1 diabetes

Answer 2

insulin dependance

Question 3

What is type 2 diabetes

Answer 3

insulin resistance

Question 4

What are the 3 main diabetic symptoms

Answer 4

Polyuria
Polydipsia
Tiredness

Question 5

What is the acute presentation of diabetes

Answer 5

Hyperglycaemia with diabetic syptoms

Ketoacidosis

Question 6

What is the management of type 1 diabetes

Answer 6

insulin

Question 7

What are the two insulin regimes

Answer 7

Basal bolus regime

Split mixed control regime

Question 8

What is the ideal HbA1c

Answer 8

6-10%

may accept slightly higher

Question 9

What are acute complications from diabetes

Answer 9

hypoglycaemia

Question 10

What can chronic risks of diabetes be split into

Answer 10

CV risk
Infection risk
Neuropathy risk

Question 11

What is management of type 2 diabetes

Answer 11

Weight loss and diet restriction

drugs for some patients

Question 12

What drugs are used for type 2 diabetes

Answer 12

Insulin secretagues e.g gliclazide

Insulin sensitisers e.g metformin

Question 13

What is the HbA1c test

Answer 13

glycated haemoglobin test and this measures the average level of blood sugar over the last few months. It does this by testing the amount of sugar attached to haemoglobin.

Question 14

What is the ideal figure fo rhte HbA1c test

Answer 14

< 48mmol.mol which corresponds to 6.5%

Question 15

What are those with diabetes at risk of dentistry wise

Answer 15

delayed healing
periodontal disease
oral dysthesia
salivary gland dysfunction 
oral candida

Question 16

What is the mechanism as to how diabetes puts patients at risk of periodontal disease

Answer 16

high glucose levels in the blood causes changes to conformations of proteins which activates the immune system increasing inflammation (furthering dysbiosis between immune system and bacterium)