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

21
Q

T2D linked with obesity is more common in

22
Q

what can be used to quantify obesity

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
diabetes complication categories (2)
microvascular and macrovascular
26
microvascular complications (3)
retinopathy, neuropathy (kidney damage and nerve)
27
macrovascular complications (3)
cerebrovascular disease, CVD, peripheral vascular disease
28
what does diabetes do to life expectancy
reduces it
29
what do complications with daiabetes
3x managing diabetes itself
30
annual cost of diabetes in Australia
$14.6 billion
31
How is diabetes diagnosed (3)
fasting plasma glucose, oral glucose tolerance test, HbA1c
32
fasting plasma glucose cut off
7 mmol/L x2
33
OGTT cut off
2 hour post 11.1 mmol/L
34
HbA1c cut off
6.5% x2
35
what is HbA1c
glycated haemoglobin
36
is HbA1c reversable
no
37
how is haemoglobin glycated
non enzymatic exposure to plasma glucose
38
increased plasma glucose is proportional to
glycated haemoglobin levels
39
HbA1c is evidence for the last
1-3 months
40
RBC life span
120 days
41
glycation is on which side group
NH2
42
T2D characterisation (3)
beta cell dysfunction, insulin resistance, hyperglucagonemia
43
glucose foes into the blood stream from (2)
liver and gut
44
plasma glucose goes to (3)
pancreas, muscle, adipose tissue
45
what goes from the gut to the pancreas
incretins (GLP-1 and GIP)
46
pancreas acts on the liver and muscle via (2)
glucagon and insulin
47