Diabetes Flashcards
Types of diabetes
Type 1 destruction on b-cells
Type 2 defected insulin action
% of cases
5-10 % type 1
Type 2 90%
Modifiable risk factors
Overweight Inactivity Previously identified glucose intolerance Metabolic syndrome Diet Smoking
Non Modifiable risk factors
Ethnicity Family history Age Gender Inflammation History of gestational diabetes
Levels of hbA1c
Normal below 5.7%
Pre diabetes 5.7-6.4%
Diabetes above 6.5%
Levels of fasting glucose
Normal above 5.6
Pre-diabetes 5.6-6.9
Diabetes above 7
2hr plasma glucose
Normal below 7.8
Pre-diabetes 7.8-11
Diabetes above 11.1
Acute effects of diabetes
Hyperglycaemia
Hypoglycaemia
Chronic effects
Macro vascular
Micro vascular
Hyperglycaemia
Diabetes out of control
Hyperosmolar nonketotic syndrome
Diabetic ketoacidosis
Hypoglycaemia
Autonomic
Neuroglycopenic
Macro vascular disease
Affects major blood vessels
Micro vascular
Retinopathy
Nephropathy
Neuropathy
Acute effects of exercise on diabetes
Translocation of glut 4
Increased
Blood flow
Increased insulin sensitivity
Chronic effects of exercise on diabetes
Glut 4 within muscle Increased Muscle mass Capillary density Improved body comp Blood pressure Vasomotor control