diabetic complications

Question 1

What are microvascular complications

Answer 1

neurology, nephropathy, retinopathy

Question 2

Microvascular complications

Answer 2

CVD & stroke

Question 3

Diabetic retinopathy

Answer 3

most common microvascular

only tight glycemic control can prevent this

other than this nothing can reverse it.

Question 4

ACR - albumin createnin ratio to diagnose diabetic nephropahty

Answer 4

> 3 or more is clinically significant

Question 5

treatment of nephropathy

Answer 5

Only if HTN

target 130/80. Has to be with an ace inhibitor.

Primary prevention of atorvastatin 20mg is recommended in patients with established CKD.

Question 6

treatment of neuropathy

Answer 6

good glycemic control

• Amitriptyline, duloxetine, gabapentin, pergabalin.

capsaicin cream - localised.

Tramadol - short term.

Question 7

Macrovascular

Answer 7

Endothelial dysfunction is central to the development of atherosclerosis and can be triggered by hyperlipidaemia, hypertension, hyperglycaemia and smoking.

Question 8

Target BP in diabetes

Answer 8

140/90 unless target organ damage then 130/80

Question 9

Ace inhibitor for everyone regardless of age

Answer 9

Then CCB then thiazide like diuretic.

Question 10

When should patients be offered atorvastatin 20mg

Answer 10

if QRISK score >10%

Question 11

Patients with T1DM should be offered atorvastatin 20mg if…

Answer 11

• They are >40 years
• They have had diabetes for > 10 years
• established nephropathy
• any cardiovascular risk factors.