HIGH YIELD-CLINICAL FEATURES

Question 1

name this diabetes mellitus type?

abrupt onset by age 20
polyuria, polydipsia, polyphagia
ketosis
weight loss
muscle weakness

Answer 1

DM T1

Question 2

name this diabetes mellitus type?

obese
polyuria, polydipsia
hyperosmolar non-ketotic coma
metabolic derangements less severe
diagnosis made after routine blood testing

Answer 2

DM T2

Question 3

usually seen in type I DM brought on by infection or illness

Answer 3

ketoacidosis/ketosis

Question 4

low glucose levels, usually complication of insulin therapy, defined as < 55-60 mg/dL

Answer 4

hypoglycemia

below 70 mg/dL means this can be seen in normal post prandial individuals

*some diabetics can be symptomatic below 70 mg/dL

Question 5

what is the limiting factor in the glycemic managemnt of diabetes mellitus

Answer 5

hypoglycemia

Question 6

what is hypoglycemia unawareness?

*what is the 1st sign of hypoglycemia?

Answer 6

insulin levels do not fall with hypoglycemia so they stay hypoglycemic

glucagon response dimishes

lose epinephrine response

• neurohypoglycemia
• visual disturbances
• CNS symptoms

Question 7

usually in DM T2 with 30-50% mortality and brought on by MI, PE, sepsis

dehydration
sunken eyes
cool skin thready pulse

what would lab findings indicate?

Answer 7

hyperosmolar non-ketotic coma

hyperglycemia, no ketones, lack of significant metabolic acidosis, total body stores of potassium depleted