Diabetes Presentation Flashcards Preview

Yr 2 Endocrine > Diabetes Presentation > Flashcards

Flashcards in Diabetes Presentation Deck (9):
1

What are the main symptoms of diabetes?

- Thirst
- Polyuria/Nocturia
- Weight loss
- Tiredness
- Blurred vision
- Abdominal pain

- Frequent low grade infections e.g. thrush
- Slow wound healing

2

Explaint he symptoms of diabetes?

Polyuria and thirst - Body clearing a lot of glucose through the kidneys

Weight loss - Can't Take up and use glucose or amino acids

Tiredness - Can't get energy from glucose

Blurred vision - GLucose build up in eye

Infections - High glucose in blood and urine allows bacteria/fungi to grow

Slow wound healing - high glucose in blood enables microorganisms to grow and slow healing

3

Whats differnet about Type 1 and type 2 presentation?

Timing:
- Type 1 is generally in kids or adolescents
- Type 2 is usually adult

Type 2 patients are generally overweight

Type 2 is rarely ketotic

4

How does diabetes present in DKA?

- N&V
- Sweet Ketotic Breath
- Drowsiness
- Kussmauls Respiration (Rapid, deep & sighing)
- Weakness, confusion & coma
- Increased urination

5

What kind of complications can you see in Diabetes, some patients may present with complications?

Macrovacular e.g. stroke, CAD or PAD

Microvascular e.g. retinopathy, neuropathy, nephropathy or PAD

Cataracts

DKA

6

Describe the presentations of MODY:

Maturity Onset Diabetes in the Young

Glucokinase Mutation
- Birth onset
- Stable hyperglycaemia
- Rare complications

Transcription Factor Mutations:
- Adolescent onset
- Progressive hyperglycaemia
- Frequent Complications

7

What are the signs of Gestational Diabetes?

Beyond the usual symptoms of diabetes it can cause:
- Foetal Macrosomia (big baby)
- Neonatal Resp Distress
- Neonatal Hypoglycaemia

8

What would you look for in possibly diabetic children?

4Ts!
- Thirsty
- Tired
- Thinner
- Toileting more

Returns to day or bed wetting in a dry child are a red flag of diabetes

9

How would you assess for diabetes in kids under 5?

Heavier/wetter nappies
blurred vision
Candidiasis (oral or vulval)
Constipation
Recurrent skin infections
Irritability or behavioural changes