Diabetes Cases 150921 Flashcards
1
Q
What is osmolality equation
A
Charged molecules + uncharged molecules + anions + urea + glucose
2(Na+K) +u+g
2
Q
Cations
A
Na/K
3
Q
Anions =
A
Cl, bicarbonate, others
4
Q
Anion gap
A
Na+k-cl-bicarbonate
5
Q
Normal anion gap is
A
18
6
Q
What happens to calcium when ph falls
A
Proteins start to stick to calcium more than usual and decrease it
7
Q
Hyperglycaemic hyperosmolar state
A
Severe dehydration in diabetes
8
Q
Hyperosmolar non ketotic coma
A
HONK
9
Q
Metformin effect on lactate
A
Lactic acidosis as inhibits the lactate conversion to glucose
10
Q
Definition of type 2 diabetes diagnosis fasting and glucose tolerance test
A
Fasting plasma glucose of >7mM
Or
Glucose tolerance test plasma glucose or >11.1 at 2 hours
2h 7.8 -11=impaired glucose tolerance
Hba1c >48
