Type 1 Diabetes Flashcards

1
Q
A
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2
Q

Define Type 1 Diabetes.

A
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3
Q

What is the common age of a diagnosis of T1DM

A

<20yrs

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4
Q

Of the entire population with DM, what percentage is T1DM?

A

10%

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5
Q

What are some RFs for developing T1DM?

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6
Q

Describe the pathophysiology of T1DM.

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7
Q

What are the common symptoms of T1DM?

A

± DKA

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8
Q

WHat are the common symptoms of DKA?

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9
Q

What are the common signs of T1DM?

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10
Q

Define metabolic syndrome. What are the 5 common features?

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11
Q

What are your ddx for T1DM?

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12
Q

What is MODY? What population group should you suspect MODY in? What are the key features and are the immunological findings?

A
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13
Q

What is LADA? What population group should you suspect LADA in? What are the key features and are the immunological findings?

A
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14
Q

List the microvascular complications of T1DM?

A

retinopathy
nephropathy
neuropathy

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15
Q

What are the features retinopathy as a result of T1DM?

A
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16
Q

What are the features Nephropathy as a result of T1DM?

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17
Q

What are the features neuropathy as a result of T1DM?

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18
Q

What are the cutaneous complications of T1DM?

A
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19
Q

List the macrovascular complications of T1DM?

A

increased risk of CVD (MI, HTN, Hyperlipidemia), Vascular (PAD), CVA (TIA, stroke), embolic (PE,DVT)

20
Q

List the common emergency presentations of a patient with T1DM?

A
  1. Hypoglycaemia
  2. DKA
  3. HHS
21
Q

Describe the emergency presentation and tx of a T1DM patient with hypoglycemia.

A
22
Q

Describe the emergency presentation of DKA in a T1DM patient.

A
23
Q

Describe the emergency tx of DKA in a T1DM patient.

A
24
Q

Describe the emergency presentation of HHS in a T1DM patient.

A
25
Q

Describe the emergency tx of HHS in a T1DM patient.

A
26
Q

Outline all the possible complications of T1DM including emergency complications.

A
27
Q

In what patient cohorts is HbA1C not recommended to measure glycemic control?

A
28
Q

What serum antibodies can be detected in T1DM?

A
29
Q

What are the 3 diagnostic features of DKA?

A
30
Q

What is the normal, prediabetic and diabetic ranges for fasting glucose? What is the normal random glucose?

A
31
Q

What are the 3 diagnostic features of a hyperosmolar hyperglycemic state?

A
32
Q

You are investigating a patient with a suspected T1DM. You send off the routine bloods and the c peptide returns LOW. What does a LOW C-peptide indicate?

A

MODY or LADA

33
Q

What are the diagnostic investigations for T1DM?

A
34
Q

What are the non-diagnostic investigations for T1DM?

A
35
Q

What are ALL the investigations for T1DM?

A
36
Q

Describe the best diet plan for a T1DM patient. (ie - what would the dietician tell them)

A
37
Q

Outline the components of comprehensive diabetic care.

A
38
Q

How can patients monitor their glucose?

A
39
Q

List the possible insulin regimens for a patient with T1DM.

A
  1. basal-bolus
  2. mixed insulin
  3. continuous insulin / insulin pump
  4. hybrid closed loop systems
40
Q

What is the first line insulin regimen for T1DM patients? Describe the regimen in terms of the drug actions.

A
41
Q

What is the best insulin regimen for those with a poor compliance under 12yoa? Describe this regimen.

A
42
Q

What is the best insulin regimen for those with a very poor compliance, OVER 12yoa with uncontrollable T1DM? Describe this regimen.

A
43
Q

Describe the hybrid closed loop system for insulin delivery in T1DM.

A
44
Q

Describe the long term management options for a patient with T1DM.

A
45
Q

Describe the secondary preventative measures involved in T1DM.

A
46
Q

Outline the full management of T1DM.

A