L4. Diabetes (L4b)

Question 1

normal BG levels

Answer 1

3.5-7 mmol/L

Question 2

3 classical sxs of DM

Answer 2

1. polyuria
2. polydipsia
3. fatigue

Question 3

why is candida infection common when DM is uncontrolled?

Answer 3

the yeast thrives when glucose is present in urineq

Question 4

what is true:

a) high urine output causes excessive thirst
b) excessive thirst causes high urine output

Answer 4

a

Question 5

does glucosuria confirm DM diagnosis?

Answer 5

no

Question 6

in a non-diabetic pt, the plasma glucose levels should never exceed …

Answer 6

11.1 mmol/L

Question 7

what is the renal glucose threshold for most people?

Answer 7

10 mmol/L

Question 8

Fasting plasma glucose for someone who has impaired glucose tolerance?

Answer 8

<7 mmol/L

Question 9

2 hour post 75g glucose load for someone who has impaired glucose tolerance?

Answer 9

7.8 - 11 mmol/L

Question 10

treatment of ketoacidosis?

Answer 10

insulin, fluid + electrolyte replacement

Question 11

retinopathy, neuropathy, nephropathy are a result of what complication?

Answer 11

macrovascular

Question 12

T/F: Main mode of action of sulphonylureas is to delay the absorption of glucose from the intestine

Answer 12

false

Question 13

T/F: Hypoglycaemia is unlikely to occur in patients treated with metformin

Answer 13

true

Question 14

T/F: The soluble insulin can be combined with isophane insulin in the same syringe and given as a single injection

Answer 14

true

Question 15

2 side effects of insulin + sulphonylurea therpay

Answer 15

1. hypoglycaemia

2. weight gain

Question 16

why should diabetics not drink alcohol

Answer 16

enhances hypoglycaemic effect of drugs

Question 17

which drug is NOT used to treat diabetes:

1. Insulin lispro 2. pioglitazone 3. Acarbose 4. Gliclazide 5. Metformin 6. Acarbose 7. Tolbutamide 8. Ribavirin 9. Repaglinide 10. Linagliptin

Answer 17

ribavirin