type 2 diabetes - diagnosis

Question 1

list 4 ways type 2 diabetes can be identified?

Answer 1

1. Health checks
   - NHS health checks
   - New patient health check
   - Medical checks for insurance/employment
2. Pre operative assessment
3. Optometry
4. Screening at risk groups

Question 2

normal - HB1AC?

Answer 2

< 41

Question 3

impaired glucose regulation - HB1AC

Answer 3

42 - 47

Question 4

Diabetic value - HB1AC

Answer 4

> 48

Question 5

normal - FASTING GLUCOSE

Answer 5

< 6

Question 6

impaired glucose regulation - FASTING GLUCOSE

Answer 6

6.1 - 6.9

Question 7

Diabetic value - FASTING GLUCOSE

Answer 7

> 7

Question 8

Diabetic value - RANDOM GLUCOSE

Answer 8

>

11. 1

Question 9

normal - 2 HOUR GLUCOSE OGTT

Answer 9

< 7.7

Question 10

impaired glucose regulation - 2 HOUR GLUCOSE OGTT

Answer 10

7.8 - 11

Question 11

Diabetic value - 2 HOUR GLUCOSE OGTT

Answer 11

> 11.1

Question 12

How is diabetes diagnosed if patient is asymptomatic but within diabetic range?

Answer 12

1. repeat the SAME test 2 weeks later
2. if within diabetic range once again
3. confirm the diagnosis

Question 13

What is the HbA1c test?

Answer 13

1. indicates the blood glucose levels for previous 2/3 months
2. measures the glucose carried by the RBCs

Question 14

Name 5 situations in which HbA1C is not appropriate for diagnosis of diabetes?

Answer 14

1. Factors which impact glucose levels of the blood
   - Patients suspected of having type 1 diabetes
   - Patients on medication which can affect glucose levels e.g. steroids
   - patients with pancreatitis/damage
2. All children and young people and pregnant women
3. Factors which impact RBC
   - haemolytic anaemias etc