Dm - TYPE 1

Question 1

Which of the following options is one of the ‘sick-day rules’ insulin-dependent diabetics should adhere to during illness?

Answer 1

should be encouraged to drink at least 3L of fluid over 24 hours.

continue their normal insulin regimen but check blood glucose four hourly or more frequently

Ketones should also be measured,more every 3-4 hours or even more frequently depending on the readings.

unable to take struggling to eat may need sugary drinks to maintain carbohydrate intake

If a patient is taking oral hypoglycaemic medication, they should be advised to continue taking their medication even if they are not eating much.

Question 2

type 1 diabetes mellitus no comorbidities. What HbA1c target should he aim for initially?

Answer 2

general HbA1c target of 48 mmol/mol (6.5%) should be used

Question 3

for type 1 diabetes NICE GUIDELINES SUGGESTS HB1AC to be monitored

Answer 3

every 3-6 months

should have a target of HbA1c level of 48 mmol/mol (6.5%) or lower.

NICE recommend taking into account factors such as the person’s daily activities, aspirations, likelihood of complications, comorbidities, occupation and history of hypoglycaemia

Question 4

NICE guidelines for self monitoring of blood glucose in type 1 diabetes

Answer 4

at least 4 times a day, including before each meal and before bed

more frequent monitoring is recommended if frequency of hypoglycaemic episodes increases; during periods of illness; before, during and after sport; when planning pregnancy, during pregnancy and while breastfeeding

Question 5

NICE guidelines blood glucose targets for type 1 DM ?

Answer 5

5 - 7 mmol/l on waking
and
4 - 7 mmol/l before meals at other times of the day

Question 6

NICE guidelines for type of insulin in type 1 DM ?

Answer 6

daily basal–bolus insulin injection regimens

twice‑daily insulin detemir is the regime of choice.
Once-daily insulin glargine or insulin detemir is an alternative

offer rapid‑acting insulin analogues injected before meals, rather than rapid‑acting soluble human or animal insulins

NICE recommend considering adding metformin if the BMI >= 25 kg/m²

Question 7

NICE recommend considering adding metformin if ?

Answer 7

BMI >= 25 kg/m²

Question 8

x

Answer 8

x

Question 9

x

Answer 9

x