Diabetic Complications

Question 1

Problem with type 2 diagnosis

Answer 1

Diagnosed after the vascular complications have already arisen

Question 2

Major complications of diabetes

Answer 2

Stroke

Visual impairment
Heart disease
Kidney disease
Bacterial and fungal infection of the skin

Sexual dysfunction

Question 3

Level of GFR decides what

Answer 3

Decides how fast complications occur

Question 4

If diabetes and history of cardiovascular diseases

Answer 4

Use GIP

And SGLT2i analogue

Question 5

What increases hypoglycaemic risk

Answer 5

Chronic kidney disease

Question 6

Weight related therapy

Answer 6

Or list at - inhibits the reabsorption of fat

Batriatic surgery - reduces weight 15-25%, short and long term complications

Question 7

Blood Pressure reduction is good for

Answer 7

Reducing vascular problems

Target 140/80

Or 130/80 if complications

Question 8

Explain J curve between BP and death in older patients

Answer 8

If BP comes down to q hazard of death also increases so keeping BP at 130 or 140 for older people is better

Question 9

Screening

Follow up

How often

Answer 9

Every time you see them follow up tests

See them at least a year

Question 10

MICE care processes

Answer 10

HBA1+

BP

serum cholesterol

Serum creatinine

Urine albumin/ creatinine ratio

BMI

smoking history

Digital retinal screening