T1DM and Principles of Insulin Flashcards

1
Q

What are the 3 aims of therapy in T1DM?

A

Prevent Hyperglycaemia
Avoid Hypoglycaemia
Reduce Chronic Complications

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2
Q

When is insulin secreted?

A

Secreted at a basal rate and

After meals in relation to post meal glucose

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3
Q

Two main types of T1DM insulin treatment

A

Multiple daily injections

Continuous Subcutaneous Insulin Injection

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4
Q

What is an insulin pump?

A

Small device that delivers continuous administration of short-acting insulin

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5
Q

3 Methods of evaluating metabolic control of T1D

A
Home Blood Glucose
Urine Testing (Glucose/Ketone)
Glycated Hemoglobin (HbA1C)
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6
Q

Limitations of insulin treatment?

A

Peak too slow to prevent post meal hyperglycaemia

Slow clearance

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7
Q

What is lipohypertrophy?

A

Extra fat under the skin caused by several subcutaneous insulin injections

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8
Q

Would you omit insulin in a patient that was hypoglycaemic?

A

No

Treat hypo and administer insulin as usual

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