Diabetes Testing

Question 1

Type 1 Diabetes

Answer 1

Usually autoimmune
Pancreatic B-cells are destroyed
Insulin deficient

Clinical presentation:
Younger age, thin, rapid onset, does not need a family history of Diabetes

Question 2

Type 2 Diabetes

Answer 2

Insulin resistance
Impaired insulin secretion
Increased hepatic glucose production

Clinical Pres:
Older age, overweight, family history of diabetes, progressive

Question 3

Diabetes Diagnosis?

Answer 3

A1C ≥ 6.5%

Fasting food glucose ≥ 126mg/dL

2-Hour plasma glucose ≥ 200mg/dL

Question 4

What do ketostix do?

Answer 4

They detect ketones in the urine

Question 5

Glucometers

Answer 5

FDA requires meters to be within 20% lab values

Question 6

Bayer

Answer 6

Contour Next Link
-BG readings within 2.7% of lab reference (Most accurate reader available)

Ability to link with insulin pump and program bolus based on reading

Question 7

Abbott

Answer 7

Freestyle precision neo:

• 50 test strips
• large, high contrast display
• no coding

Freestyle freedom lite

• small sample size
• 60 seconds to re-apply sample
• No coding
• alternate site testing

Question 8

Roche

Answer 8

Accu-chk meters

• Fast results in <5sec
• test strip drum is useful for poor dexterity
• Alternate site testing

Question 9

Prodigy

Answer 9

Talking meter
easy to read and hear
4 language options
no coding needed

Question 10

Artificial Pancreas

Answer 10

Closed loop system, containing CGM and continuous insulin pump

Insulin pump would automatically adjust based on CGM and mimic pancreatic insulin response

Promising results in small groups