Endocrinology

Question 1

Diabetes dx criteria?

Answer 1

Random BSL >11.1
fasting BG >7
2h 75g OGTT >11.1
Hba1C >6.5%
Repeat unless has symptoms

Question 2

what is estimated total insulin req for t1DM?

Answer 2

0.5-0.7units/kg
50% basal
50% bolus divided by 3

Question 3

T2DM treatment if hba1c <8.5% at diagnosis?

Answer 3

lifestyle +/- metformin

review in 2-3/12

Question 4

T2DM treatment if hba1c is >8.5% at diagnosis

Answer 4

metformin + another OHG agent

If symptomatic: needs insulin plus metformin

Question 5

how tight blood glucose control pre and post prandial aiming?

Answer 5

preprandial: 4-7

post prandial: 5-10, (5-8 if not achieving Hba1c)