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ENDOC > Diabetic complications > Flashcards

Diabetic complications Flashcards

1
Q

what are the diabetic complications?

A

-cardiovascular disease
-diabetic nephropathy
-diabetic neuropathy
-visual impairment

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2
Q

what drug is given in all type 1 pt with high risk factor of cardiovascular disease?

A

low dose atorvastatin

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3
Q

cardiovascular disease risk

who is low-dose atorvastatin offered to?

A

-40+
-diabetic for 10+
-nephropathy or other CVD factors

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4
Q

cardiovascular disease

which type of drug reduces cardiovascular disease risk

A

ACEi

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5
Q

what does diabetic nephropathy cause

A

proteinuria (high levels of protein in your urine)

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6
Q

what is tx of proteinuria

A

ACEi/ARB

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7
Q

what is the effect of ACEi on antidiabetic drugs/insulin

A

it can potentiate hypogylcaemic effect

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8
Q

what are the different types of diabetic neuropathy?

A

-painful peripheral neuropathy
-autonomic neuropathy
-neuropathic postural hypotension
-gustatory sweating
-erectile dysfunction

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9
Q

what can painful peripheral neuropathy cause?

A

diabetic foot tx pain and manage infection

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10
Q

what is tx of painful peripheral neuropathy

A

-Antidepressants
-gabapentin
-pregabalin

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11
Q

what can autonomic neuropathy cause? + tx

A

diarrhoea
-tx with codeine or tetracyclines

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12
Q

tx of neuropathic postural hypotension

A

-inc salt intake
-fludrocortisone

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13
Q

tx of gustatory sweating

A

antimuscarnic (propatheline bromide)

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14
Q

tx of erecticle dysfunctionq

A

sildenafil

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15
Q

how often should you have eye tests?

A

yearly

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16
Q

What level is considered hypoglycaemia

A

<4mmol/l

17
Q

signs of hypoglycaemia

A

-sweating
-lethargic
-dizziness
-hunger
-tremor
-tingling lips
-palpitations
-extreme moods
-pale

18
Q

tx of hypoglycaemia if conscious and can swallow

A

fast acting carb via mouth 4.5 glucose tab, 3-4 heaped teaspoons of sugar, 150-200ml of fruit juice, repeat every 15 mins for 3 cycles

19
Q

tx of hypoglycaemia if unable to swallow or unconscious

A

IM glucagon
->if unresponsive after 10 mins IV glucose

20
Q

when can pt awareness of hypogly become blunted?

A

-increased no. of hypo episodes
-taking beta blockers

ENDOC (13 decks)

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