T1DM Flashcards
what is diabetes
a metabolic disorder of multiple eitology with chronic hyperglycaemia
normal fasting and diabetic and 2 hour glucose
7 and above
less than 7.8. 7.8-11 and 11.1
3 diagnostic aids
ketones,
pancreatic autoantibodies
c peptide
most common ketone and level
b hydroxybutyric acid
less than 0.6
2 islet autoantibodies
glutamic acid decarboxylase and insulinoma associated antigen 2
how long to detect changes in autoantibodies and c peptide
3-5 years
how to measure C peptide
urine c peptid to creatinine
3 genetics in MODY
AD, monogenic and HNF1-A
4 mody features
over 25
c peptide not low
families
ab negative
pancreatic diabetes
AD, monogenic and HNF1-A
7 features of pancreatic diabetes
over 25 families managed by diet alochol ketones and acidosis ab negative low c peptide
4 causes of pancreatic diabetes
panceatitis pancreas remove carcinoma CF haemochromotaosis
2 types of management in type 1
basal bolus and biphasic
HBA1c target of type 1
less than 53mol
5 education in t1dm
monitor glucose and ketones administering inculin preganncy gym sick day rules driving hypo complications