Peds

Question 1

Treatment of lows in kids

Answer 1

<5 years = 5g (40ml juice)
5-10 years = 10g (85ml juice)
> 10 years = 15g (125ml juice)

Question 2

Glucagon treatment

Answer 2

In severe hypoglycaemia
<5 years - 0.5mg
>5 years - 1mg

Mild hypoglycaemia where other treatments are being refused
10mcg/year of age Or 1 unit per year of age
Min dose 20mcg or 2 units
Max dose 150mcg or 15 units

Additional double dose given if BG has not increased in 20min

Question 3

Leading cause of morbidity and mortality in kids with diabetes

Answer 3

DKA
Occurs in ~40% new onset kids
1 - 10 episodes per 100 patient years with established diabetes

Question 4

Rates of T1DM females who meet the diagnostic criteria for an eating disorder vs those without diabetes

Answer 4

10% vs 4%

Question 5

Screening for which comorbid conditions are recommended?

Answer 5

• Autoimmune thyroid disease (more common in girls); @ Dx and every 2 years after
• Primary adrenal insufficiency (Addisons disease, in case of unexplained hypoglycaemia and decreasing insulin requirements)
• Celiac Disease ( if associated symptoms occur )

Question 6

Physical activity recommendations

Answer 6

3 or more times per week, 60 or more min each time