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?

24
Q

will C peptide be present in type 2 DM?

25
will incretin be increased or decreased in type II DM?
it decreases
26
will glucagon be icnreased or decreased in type II DM?
increased
27
will glucose absorption be increased or decreased in type II?
increased
28
will lipolysis be increased or decreased in type II DM?
increased