Type 1 Diabetes

Question 1

Immediate test that can be done for Type 1 Diabetes

Answer 1

Finger Prick Capillary Glucose >11mmol

Question 2

What kind of peptide is insulin

Answer 2

Polypeptide

Question 3

Insulin is inactivated by

Answer 3

GI Tract

Question 4

Soluble insulin is given

Answer 4

30 mins before eating

Question 5

Diabetic Ketoacidosis Symptoms

Answer 5

Nausea and Vomit
Abdo Pain
Ketotic Breath
Drowsy
Deep Sigh Respiration
Coma

Question 6

Symptoms of DKA

Answer 6

Polyuria
Polydipsia
Weight Loss
Weak
Nausea
Vomit
Abdo Pain 
Breathless

Question 7

Blood Ketones should be

Answer 7

Less than 0.6

Question 8

If Ketones showing 3.0 or above

Answer 8

Urgent Medical Advice

Question 9

If ketones are raised

Answer 9

give extra insulin

Question 10

What is twice daily insulin regimen?

Answer 10

Rapid Act with Intermediate Act

Before Breakfast and Evening Meal

Question 11

What is three times daily insulin regimen

Answer 11

Rapid Act with Intermediate Act before breakfast
Rapid act before evening meal
Intermediate at bedtime before bed

Question 12

Signs of DKA (8)

Answer 12

Dry Mucus Membranes
Sunken Eyes
Tachycardia
Hypotension
Ketotic Breath
Kussmaul Resp
Altered Mental State
Hypothermia

Question 13

Complications of DKA

Answer 13

Hyper and Hypokalaemia
Hypoglycaemia
Cerebral Oedema

Question 14

Hypoglycaemia definition

Answer 14

Blood Glucose <4mmol/K

Question 15

Causes of Hypoglycaemia (4)

Answer 15

Too much Insulin
Inappropriate Timing of Insulin
Exercise
Alcohol

Question 16

At risk groups for Hypoglycaemia (6)

Answer 16

Tight glycemic control
Impaired awareness
Extremes of age
Malabsorption
Renal/Hepatic Impairement
Pancreatectomy