Physiology-Diabetes Flashcards Preview

Multisystems I > Physiology-Diabetes > Flashcards

Flashcards in Physiology-Diabetes Deck (12):
1

Screening tests that go along with a diagnosis of type I diabetes

Celiac screening, hyperthyroidism screen, Addison’s screen and lipid panels

2

Preventive vaccinations for kids with type I diabetes

Flu shot and pneumococcal vaccine

3

Risk for CAD at borderline diabetic Hgb A1c (< 7.0)

2x

4

Are men or women at higher risk for CAD complications from diabetes?

Women

5

Most common cause of mortality in diabetics

CAD (80%)

6

Prevention of CVD in diabetics

1) HTN control (< 100 3) Anti-platelet (Aspirin for males > 50 and females > 60) 4) Smoking cessation 5) Hyperglycemic control (use metformin 1st) 6) Exercise & Diet

7

How are diabetes and depression related?

If you have one you have 2x the risk of getting the other. Note that bipolar patients have 3x the risk of developing diabetes.

8

Best treatment for type II diabetes to date?

Gastric bypass surgery has shown to have better results with weight loss, reduction of Hgb A1c and lipid profiles.

9

When do you see an increase in albuminuria in patients with diabetes?

Initially you see microalbuminuria that indicates an increase in GFR. 15+ years later you see increased albuminuria that marks the decline in GFR.

10

Type 1 diabetes association with diabetic retinopathy

Diabetic nephropathy is also present 90% of the time. Association is not as strong in type II diabetics.

11

What is albuminuria a marker of in diabetic patients

Generalized microvascular endothelial dysfunction that contributes to mortality

12

Drug necessary for reduction of proteinuria in diabetic patients

ACE-I selectively relaxes the efferent arteriole and reduces glomerular filtration pressure