diabetes Flashcards
What happens when BG is high in body ?
Insulin is released by beta-cells which triggers fat cells to store glucose from blood lowering the levels back to normal (4-6mmol/L)
what happens when BG is low?
Glucagon is released by alpha cells which triggers liver to release glucose increasing levels back to normal (4-6mmol/L)
symptoms of T1 diabetes
- dizziness
-unexplained weightloss
-fatigue
-blurred vision
-polyphagia (increased hunger)
-polyuria (increased urination)
-polydipsia (increased thirst) - genital infections
- unexplained weightloss
-slow wound healing
what is the first diagnosis test for diabetes
random plasma bloog glusoce concentration - taken from blood usually fingerprick test
if higher than 11.1mmol/L take fasting blood glucose test
what is the second diagnostic test for diabetes
fasting plasma glucose conc.
should not eat or drink for 8-12 hours then take blood test
if higher than 7mmol/L than take plasma glucose 2 hours after oral glucose test
third test for diagnosis of diabetes
no food or drink for 8-12 hours then drink glucose
2 hours later test plasma glucose if higher than 11.1mmol confimed diagnosis
what is the optimum level of HbA1c?
lower than 6% or 42mmol/L is perfect
refer to scale
what is best practise tarrif?
a standard set by NHS for anyone upto 19 to make sure they have a successful transition from paediatric to adult healthcare
mkaes sure that there is a gradual handover to avoid non adherance and ease “high risk time” for patient and their families
Paid incentive - providers are not paid unless they provide a high standard of service
why does diabetes cause slow wound healing?
high amounts of glucose can cause nerve damage which means you may not feel the wound which can lead to infection if not treated. It damages the blood vessels which supply blood to the nerves.
