Diabetes Flashcards

1
Q

What is diabetes

A

body not using glucose properly

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2
Q

Diabetes underlying causes (2)

A

insufficient pancreatic insulin and not using insulin properly

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3
Q

what characterises diabetes

A

abnormal glucose build up

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4
Q

diabetic complications affect (3)

A

body system, blood vessels, nerves

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5
Q

T1D cause

A

lack of insulin

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6
Q

T1D needs what to survive

A

insulin replacement

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7
Q

when is T1D typically diagnosed

A

Youth

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8
Q

What causes lack of insulin in T1D

A

autoimmune destruction of pancreatic beta cells

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9
Q

when is T2D normally diagnosed

A

adulthood

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10
Q

what characterises T2D

A

reduced or less effective insulin action

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11
Q

T2D management (2)

A

lifestyle and pharmacotherapy

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12
Q

what is the problem with diabetes

A

managing blood glucose

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13
Q

A person with diabetes typical blood sugar

A

higher

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14
Q

when does blood glucose spike

A

postprandially

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15
Q

how many people die each year from diabetes

A

5 million

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16
Q

epidemiology of diabetes

A

growing worldwide

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17
Q

how many Australians with diabetes

A

17 million

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18
Q

How many people in VIctoria with diabetes

A

448 000

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19
Q

Diabetes is more common in (2)

A

older and males until older females

20
Q

what is T2D linked with

A

obesity

21
Q

T2D linked with obesity is more common in

A

women

22
Q

what can be used to quantify obesity

A

BMI

23
Q

diabetes symptoms (6)

A

hunger, thirst, tingling limbs, blurred vision, high blood glucose, fequent urination

24
Q

what is a major initiator of diabetic complications

A

chronic hyperglycemia

25
Q

diabetes complication categories (2)

A

microvascular and macrovascular

26
Q

microvascular complications (3)

A

retinopathy, neuropathy (kidney damage and nerve)

27
Q

macrovascular complications (3)

A

cerebrovascular disease, CVD, peripheral vascular disease

28
Q

what does diabetes do to life expectancy

A

reduces it

29
Q

what do complications with daiabetes

A

3x managing diabetes itself

30
Q

annual cost of diabetes in Australia

A

$14.6 billion

31
Q

How is diabetes diagnosed (3)

A

fasting plasma glucose, oral glucose tolerance test, HbA1c

32
Q

fasting plasma glucose cut off

A

7 mmol/L x2

33
Q

OGTT cut off

A

2 hour post 11.1 mmol/L

34
Q

HbA1c cut off

A

6.5% x2

35
Q

what is HbA1c

A

glycated haemoglobin

36
Q

is HbA1c reversable

A

no

37
Q

how is haemoglobin glycated

A

non enzymatic exposure to plasma glucose

38
Q

increased plasma glucose is proportional to

A

glycated haemoglobin levels

39
Q

HbA1c is evidence for the last

A

1-3 months

40
Q

RBC life span

A

120 days

41
Q

glycation is on which side group

A

NH2

42
Q

T2D characterisation (3)

A

beta cell dysfunction, insulin resistance, hyperglucagonemia

43
Q

glucose foes into the blood stream from (2)

A

liver and gut

44
Q

plasma glucose goes to (3)

A

pancreas, muscle, adipose tissue

45
Q

what goes from the gut to the pancreas

A

incretins (GLP-1 and GIP)

46
Q

pancreas acts on the liver and muscle via (2)

A

glucagon and insulin

47
Q
A