T1DM and Principles of Insulin

Question 1

What are the 3 aims of therapy in T1DM?

Answer 1

Prevent Hyperglycaemia
Avoid Hypoglycaemia
Reduce Chronic Complications

Question 2

When is insulin secreted?

Answer 2

Secreted at a basal rate and

After meals in relation to post meal glucose

Question 3

Two main types of T1DM insulin treatment

Answer 3

Multiple daily injections

Continuous Subcutaneous Insulin Injection

Question 4

What is an insulin pump?

Answer 4

Small device that delivers continuous administration of short-acting insulin

Question 5

3 Methods of evaluating metabolic control of T1D

Answer 5

Home Blood Glucose
Urine Testing (Glucose/Ketone)
Glycated Hemoglobin (HbA1C)

Question 6

Limitations of insulin treatment?

Answer 6

Peak too slow to prevent post meal hyperglycaemia

Slow clearance

Question 7

What is lipohypertrophy?

Answer 7

Extra fat under the skin caused by several subcutaneous insulin injections

Question 8

Would you omit insulin in a patient that was hypoglycaemic?

Answer 8

No

Treat hypo and administer insulin as usual