DM - Diagnosis

Question 1

T2DM;

Diabetes is usually diagnosed by a blood ? of ? mmol/mol (?%) or more in a ? individual
o Assesses blood glucose over the last 2-3 ?
• ?-47mmol (6-6.4%) = ‘pre-diabetes’.

Answer 1

hba1c
48
6.5
symptomatic
months
42

Question 2

T2DM

Use of HbAlc is inappropriate in certain populations;
o Those years of age.
o Those ? unwell.
o Those taking ? that can raise blood sugars.
o Those with ?-stage ?.
o Those with ???.

In these populations, a ? plasma ? level of ? mmol/L or greater can be diagnostic.

Answer 2

18
acutely
meds
end
CKD
HIV
fasting
glucose
7

Question 3

T2DM

In an asymptomatic person, the diagnosis of diabetes should ? be based
on a ? abnormal HbAlc or fasting plasma glucose level; at least ? additional abnormal HbAlc or plasma glucose level is essential.
o If the second test results are ?, it is prudent to arrange ? review of the person.

Answer 3

never
single
one
normal
regular review

Question 4

T2DM

? glucose tolerance tests are no longer used routinely, but assess the
blood sugar response to a ?g glucose load;

o Normal.
• Fasting glucose mmol/L, 2h glucose mmol/L.

o Impaired fasting glucose.
• Fasting glucose ?-? mmol/L, 2h glucose mmol/L.

Answer 4

oral
75
7
7.8
6.1-7
7.8

Question 5

T2DM

o Impaired glucose tolerance.
• Fasting glucose mmol/L, 2h glucose ?-? mmol/L.

o Diabetes mellitus.
• Fasting glucose >? mmol/L, 2h glucose >? mmol/L.

Answer 5

7
7.8-11
7
11

Question 6

T1DM

? features are usually more specific, presx in ? patients

o ?% of cases of diabetes in children are due to TlDM.

• —• ?, or ?/? children may be more at risk of T2DM.
• —• ?-onset diabetes of the ?, ‘MODY’, is an autosomal ? condition that also presents in children.

Answer 6

history
younger
95
obese
black/asian
mature
young
dominant

Question 7

T1DM

o In patients are >?, suspect TlDM if there are comorbid ? diseases and ? is <25.

If ?, diagnose with a random blood glucose >? mmol/L.

Answer 7

40
autoimmune
BMI
Sx
11