T1DM in children Flashcards
1
Q
What are the common signs and symptoms of children with T1DM?
A
- Polyuria
- Polydipsia
- Lethargy
- Poor growth
- Weight loss + recurrent infections
2
Q
What are the signs and symptoms of children with Diabetic Ketoacidosis?
A
- Nausea and vomiting
- Abdominal pain
- Hyperventilation
- Dehydration
- Loss of consciousness
3
Q
What are the insulin therapy regimens?
A
- Twice daily regimen: a mixture of rapid-acting insulin and intermediate-acting isophane insulin is administered before breakfast and before dinner
- Basal-bolus regimen: long acting insulin is given at night and rapid-acting insulin before each meal, according to carbohydrate intake
- Continuous subcutaneous insulin infusion: fewer hypoglycaemic episodes
4
Q
What are the complications of diabetes?
A
Diabetic retinopathy, diabetic nephropathy, neuropathy, and atherosclerosis
5
Q
When is diabetic retinopathy monitored?
A
Diabetic retinopathy is routinely monitored after 12 years old
6
Q
How is diabetic kidney disease in children investigated? When does investigation begin?
A
Urine analysis for microalbuminuria using “early morning urine” when the child is 12 years old and older.
