T1DM Flashcards

1
Q

what is diabetes

A

a metabolic disorder of multiple eitology with chronic hyperglycaemia

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2
Q

normal fasting and diabetic and 2 hour glucose

A

7 and above

less than 7.8. 7.8-11 and 11.1

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3
Q

3 diagnostic aids

A

ketones,
pancreatic autoantibodies
c peptide

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4
Q

most common ketone and level

A

b hydroxybutyric acid

less than 0.6

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5
Q

2 islet autoantibodies

A

glutamic acid decarboxylase and insulinoma associated antigen 2

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6
Q

how long to detect changes in autoantibodies and c peptide

A

3-5 years

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7
Q

how to measure C peptide

A

urine c peptid to creatinine

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8
Q

3 genetics in MODY

A

AD, monogenic and HNF1-A

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9
Q

4 mody features

A

over 25
c peptide not low
families
ab negative

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10
Q

pancreatic diabetes

A

AD, monogenic and HNF1-A

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11
Q

7 features of pancreatic diabetes

A
over 25
families 
managed by diet
alochol
ketones and acidosis 
ab negative 
low c peptide
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12
Q

4 causes of pancreatic diabetes

A
panceatitis
pancreas remove 
carcinoma 
CF
haemochromotaosis
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13
Q

2 types of management in type 1

A

basal bolus and biphasic

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14
Q

HBA1c target of type 1

A

less than 53mol

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15
Q

5 education in t1dm

A
monitor glucose and ketones
administering inculin
preganncy
gym
sick day rules
driving
hypo
complications
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16
Q

5 hypo/hyper causes

A
not rotating injection sites
incorrect dodges
CHO counting
exercise
pump failure
pregnancy
illness