Endo Flashcards
What is classed as hypoglycaemia in paediatrics?
<4
How often should children with T1DM be reviewed?
4x per year
+ 8x additional nurse visits
What type of diet should type 1 diabetics follow?
High complex carb
Low fat
How often should HbA1c be checked?
Every 3 months
Symptoms of hypoglycaemia
Hunger
Tummy ache
Sweatiness
Faint/dizzy/”wobbly”
– seizures/coma
Should insulin be increased or decreased during illness? Why?
Increased
- release of corticosteroids during illness results in increased glucose mobility and blood sugars
Should insulin be increased or decreased during exercise?
Decreased - exercise uses up sugars, so less sugar needs to be shuttled into cells
What happens to insulin requirements during puberty?
Increase - sex steroids, GH are coutnerregulatory hormones (antagonise insulin) increasing blood sugars. Daily insulin requirement increases
Urine dip positive for ketones only
Likely starvation
Urine dip positive for ketones and glucose
T1DM
Which metabolic disorders clasically present in the neonatal period?
Uric acid cycle disorders
Carbohydrate metabolism disorders (galactosaemia)
When can you start with potassium in fluids (DKA)?
Once child has PUed
When do you give dextrose as maintenance fluids in DKA?
BM <14
OVer how long does dehydration need to be corrected?
48 hours
