Diabetic and glycaemic emergencies Flashcards

1
Q

What Hormones is blood sugar controlled by?

A
  • Insulin
  • Glucagon
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2
Q

What is the function of insulin?

A

To reduce blood sugars

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3
Q

What is the function of glucagon?

A

To increase blood sugars

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4
Q

Where is insulin produced?

A

Beta cells

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5
Q

Where is glucagon produced?

A

Alpha cells

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6
Q

What areas do Insulin affect?

A
  • Red blood cells
  • Muscle
  • Fat cells
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7
Q

Define “Diabetes Melitus”.

A

A metabolic disorder which results in chronic high blood sugar due to a lack of insulin.

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8
Q

What are the long term complications of prolonged high blood sugars?

A
  • MI
  • Stroke
  • Renal failure
  • Blindness
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9
Q

What are the signs and symptoms of undiagnosed diabetes?

A
  • Hyperglycaemia
  • Glucose in urine
  • increased appetite
  • Weight loss
  • Fatigue
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10
Q

What causes excessive thirst in diabetic patients?

A

When the kidneys expel the excess glucose, they also expel water. This leads to overwhelming dehydration, and increased the need to drink fluids.

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11
Q

When is T1DM diagnosed?

A
  • Normally during pregancy/ early childhood.
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12
Q

What causes T1DM?

A

An inability to produce insulin, due to an autoimmune destruction of the beta cells.

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13
Q

What commonly causes T2DM?

A

Lifestyle, when the insulin produced by the body is unable to cope with the demands of the body.

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14
Q

What are the risk factors for T2DM?

A
  • obesity
  • Sedentary lifestyle
  • Increased age
  • Poor diet
  • Learnt family behaviours
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15
Q

What are the short term complications of uncontrolled blood sugars?

A
  • Hypoglycaemia episodes including coma
  • Diabetic ketoacidosis
  • infections
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16
Q

What are the long term complications of T2DM?

A
  • Cardiovascular diseas
  • Neuropathy
  • Retinopathy
  • Nephropathy
  • Stroke
  • Amputations
17
Q

Why do diabetic wounds heal slower?

A
  • Damage to the blood vessels and cells reduce the ability for them to heal.
18
Q

What is a CGM?

A
  • Continuous glucose monitor
  • it delivers a continuous flow of insulin into the blood stream, with a bolus being delivered after eating.
19
Q

What are the parameters for hypoglycaemia?

A
  • <4 in diabetic patients
  • <3 in non diabetics
20
Q

What are the autonomic signs of hypoglycaemia?

A
  • Sweating
  • Palpitations
  • Hunger
21
Q

What are the neuro signs of hypoglycaemia?

A
  • Confusion
  • ## Drowsiness