Microvascular Complications

Question 1

how often is screening done for diabetic complications?

Answer 1

annually

Question 2

four types of neuropathy

Answer 2

1. peripheral
2. proximal (diabetic amyotrophy)
3. autonomic
4. focal

Question 3

presentation of peripheral neuropathy

Answer 3

symmetrical pain/ loss of feeling in hands and feet

Question 4

consequences of peripheral neuropathy

Answer 4

painless trauma
ulcers
Charcot foot

Question 5

pain management in peripheral neuropathy

Answer 5

antidepressants

AEDs

Question 6

presentation of proximal neuropathy (diabetic amyotrophy)

Answer 6

pain in hips, thighs, buttocks and legs on one side of the body
proximal weakness
weight loss

Question 7

presentation of autonomic neuropathy

Answer 7

affects nerves regulating HR, BP, gastric motility, urination, sexual function and vision

gastroparesis is common

Question 8

examples of focal neuropathies

Answer 8

carpal tunnel
foot drop
Bell’s palsy

Question 9

what is nephropathy?

Answer 9

progressive kidney disease with damage to capillaries in glomeruli

Question 10

presentation of nephropathy

Answer 10

proteinuria

decline in renal function

Question 11

management of nephropathy

Answer 11

ACEI/ARB

Question 12

eye pathologies in diabetes

Answer 12

macular oedema
cataracts
glaucoma
blurred vision
retinopathy
maculopathy