What Is Diabetes, Prevalence and Incidence Flashcards

1
Q

Give some facts about type 1 diabetes:

A
  • 10% of population mostly in childhood
  • autoimmune disease: cells that produce insulin are destroyed
  • lifelong treatment with insulin to prevent death
  • develops at any age but before 40
  • symptoms develop over days and weeks
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2
Q

Give some facts about type 2 diabetes:

A
  • 90% cases
  • body stops producing enough insulin or becomes resistant to the effect of insulin
  • progressive
  • lifestyle management
  • oral medications (metamorfin) or injections
  • can remain undetected
  • obesity has an effect
  • sx develop over months and years
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3
Q

When do symptoms for diabetes start to appear

A

When blood glucose levels aren’t controlled very well

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4
Q

Explain the symptoms of diabetes

A
  • Urinating more
  • feeling tired
  • feeling thirsty
  • feeling lightheaded/dizzy
  • unexplained weight loss
  • itching round the genitals
  • cuts healing slow
  • blurred vision
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5
Q

Which type of diabetes causes the symptoms to be acute

A

Type 1

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6
Q

How is blurred vision caused in diabetes?

A

As the blood glucose level increases, so also does the glucose content in the aqueous humor. Because glucose from the aqueous enters the lens by diffusion, glucose content in the lens will likewise be increased. Some of the glucose is converted to sorbitol, the sugar alcohol of glucose, by the enzyme aldose reductase. Sorbitol is metabolized slowly by the lens and accumulates in the lens cell cytoplasm. The resulting increase in osmotic pressure may cause an influx of water, which leads to swelling of the lens fibers changing the refractive power of the lens

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7
Q

How do nutrients enter the blood stream?

A

Via the intestine

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8
Q

How is energy produced in the cells?

A

Nutrients enter the blood stream via the intestine. Once in the bloodstream the glucose can be passed to the cells and when in the cells, the glucose is converted into atp which then breaks down in the cells to release energy to allow the cells to function

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9
Q

What cells regulate the blood glucose levels in the pancreas?

A

Islets of Langerhan

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10
Q

What is the function of islets of langerhan?

A

Secreting insulin

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11
Q

What is the function of insulin?

A

Stimulates glucose uptake and stores it as glycogen in the liver

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12
Q

What is glucagon?

A

Hormone produced by the pancreas which adds glucose to the blood

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13
Q

What happens when there’s low blood sugar levels?

A

when blood glucose levels are low, it stimulates the alpha cells in the pancreas to secrete glucagon.
That glucagon then stimulates the liver to break down the stored glycogen into glucose and the glucose is then released into the blood increasing the blood glucose levels returning them to normal.

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14
Q

What happens when there’s high blood sugar levels?

A

When blood glucose levels are high, it stimulates the beta cells in the pancreas to secrete insulin.
When insulin is released, glucose is transported into the liver and the insulin stimulates the glucose to be converted into glycogen.
The glycogen is then released into the blood which helps to lower the blood glucose levels to normal.

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15
Q

What treatment is used for type 2 diabetics?

A

Changes to diet, lifestyle and doing exercise.

Also using medications such as metformin

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16
Q

What is the treatment for type 1 diabetics?

A

Daily insulin injections

17
Q

How is the measure of glycemic control quoted??

A

It’s quoted by ‘hbA1c’

18
Q

What is HbA1c?

A

It’s a chemical formed when glucose combines with haemoglobin. The more HbA1c, the more sugar is available in the blood and identifies the average blood plasma glucose concentration over prolonged periods.

19
Q

Define incidence:

A

Probably if a px being diagnosed with a disease

20
Q

Why is incidence rising?

A

Due to increasing factors such as rising obesity

21
Q

Obesity increases the risk of diabetes by how much in males and females?

A

Men:6x
Women:13x

22
Q

Define prevalence and how is it calculated?

A

Total number of cases in a population. It’s calculated by total number of cases of a disease in a population divided by the total population

23
Q

What effects prevalence?

A

Incidence and death rate

24
Q

When does prevalence stop growing?

A

When death equals or exceeds incidence rate

25
Q

How does prevalence grow?

A

When there’s low cure rate and maintenance treatment that permits survival

26
Q

Approximately how many of patients will be diabetic?

A

1/16