Diabetes Pathophys Flashcards

1
Q

how high is A1C in diabetes diagnosis

A

greater then 6.5

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2
Q

how high is fasting plasma glucose in diabetes diagnosis?

A

greater than 126 mg/dl

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3
Q

how high is 2 hr plasma gluose during OGTT for diagnosis of diabetes?

A

greater than 200

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4
Q

a random plasma glucose higher than what is sufficient for diabetes diagnosis?

A

200 mg/dl

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5
Q

what is OGTT?

A

oral glucose tolerance test

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6
Q

what is A1c in pre diabetes?

A

5.7-6.4

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7
Q

what is 2 hr plasma glucose during OGTT in pre diabetes?

A

140-199

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8
Q

what is free plasma glucose in pre diabetes?

A

100-125

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9
Q

at what age shoudl diabetes testing begin?

A

at 45, especially for anyone overweight

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10
Q

if someone has prediabetes, when should they be tested for diabetes?

A

yearly

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11
Q

name some risk factors for diabates

A
first degree relative
high risk race
cardiovascular disease
HTN
hyperlipidemia
obesity
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12
Q

what are high risk races for diabetes?

A

AA, latine, asian, pacific islander

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13
Q

when should you screen for type 2 diabetes in kids?

A

overweight with at least one risk factor

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14
Q

in end of type 1 DM, will c peptide be present

A

NO

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15
Q

what is most common cause of young adult/child diabetes?

A

type 1 DM

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16
Q

can older adults have type 1 DM?

A

you betcha

17
Q

what type of diseases often coincide with type 1 dm?

A

other autoimmune diseases…hypothyroid most common

18
Q

what are the three antibodies you can find in type 1 DM?

A

anti-GAD,
anti-insulin (IAA)
anti0 ICA512 (islet cell antibody)

19
Q

what is most common co morbid autoimmune disease with type 1 DM?

A

hashimotos and celiac

20
Q

what does hyperglycemia in type II DM lead to with fatty acids?

A

eventually they start to accumulate and levels will rise

21
Q

what do high free fatty acid levels cause in type II DM?

A

further inhibition of insulin release

22
Q

which of type 1 or 2 DM has higher genetic contribution?

A

type II more common to have genetic component

23
Q

is ketoacidosis more common in type I or II DM?

A

type I dm

24
Q

will C peptide be present in type 2 DM?

A

yes…

25
Q

will incretin be increased or decreased in type II DM?

A

it decreases

26
Q

will glucagon be icnreased or decreased in type II DM?

A

increased

27
Q

will glucose absorption be increased or decreased in type II?

A

increased

28
Q

will lipolysis be increased or decreased in type II DM?

A

increased