DM

Question 1

OGTT parameters ??

Answer 1

3day carb off
75gr 300ml dissolve 5min solution
2nd hour plasma glucose levels-
lower 140 mg/dl noDM
greater 200 mg/dl DM

Question 2

Hemoglobin A1C
normal value
diagnostic value??
type2 dm control period?

Answer 2

4-8% normal value
lower 7% is aim
greater 9% uncontrolled
2 times a year (indicate last 3-4 months)

Question 3

Hemoglobin A1C
normal value
diagnostic value??
type2 dm control period?

Answer 3

4-8% normal value
lower 7% is aim
greater 9% uncontrolled
2 times a year (indicate last 3-4 months)

Question 4

DM TYPES?

Answer 4

T1 DM 5-10% insulin def. due to immun destruction beta cells before 30 suddenly

T2 DM 90-95% insulin ineffectiveness or sec def. after 30, symptoms gradually, majority obese

Gestational DM 2-5% of pregnants, third trimester of pregnancy, HPL, increase DM risk in 30-60% of women in 5-10 year child— Cong Heart, CNS, Skeletalmuscle abnorm.

LADA
MODY
SECONDARY DM

Question 5

Fasting Test
Randomized Test
???

Answer 5

FT
8 hours fasting
lower 110 NO DM
greater 126 ->again-> same DM

RT
anytime greater 200 and DM symptoms - DM

Question 6

DM Complications
acute, chronic subtypes ?

Answer 6

ACUTE
-Hypoglycemic coma (50-70 mg/dl) (15GR ORAL / 1glucagon SC/IM)
-Diabetic ketoacidosis (+250mg/dl) (isotonic NaCl IV- Insulin)
-Hyperosmolar nonketotic hyperglycemic coma (600+ mg/dl)(10-20unit insulin IM/IV

CHRONIC
-Microvcasc— neuropathy, retinopathy, nephropathy
-Macrovasc— Cardiovas, Cerebrovas, peripheral circ
-Non-vasc— infection