Type 1 Diabetes Flashcards
What is the most common cause for Type 1 Diabetes?
Pancreatic beta cell destruction
*Autoimmune and HLA-DR3 causes are less likely
Why is Type 1 Diabetes commonly associated with cystic fibrosis?
Poor pancreatic ductal secretion resulting in beta-cell cell destruction
What is the most common presenting syndrome of Type 1 Diabetes?
Diabetic ketoacidosis
Name 3 symptoms of diabetic ketoacidosis
- Polyuria
- Polydipsia
- Polyphagia
- Nausea
- Vomiting
- Abdominal pain
- Weight loss
- Fatigue
- Altered level of conciousness
- Dry skin
- Tachycardia
What is the “honeymoon” period of starting insulin in Type 1 Diabetes?
- 2-3 months of insulin therapy
- Partial remission of diabetes with continued use of insulin
- Hypoglycemia
Common in children
What type of yearly exams do patients with diabetes require?
- Neurologic
- Dental
- Skin
- Foot
- Optometry or opthamology
- Renal function
- Lipid profile - can extend to q5years if low risk
What 3 non-pharmacological strategies can support wellness with people living with diabetes
- Vaccinations
- Weight loss
- Diet
- Exercise
- Mental wellness - stress reduction, sleep, diabetes support groups
- Diabetes clinic referrals
What is the target A1C for people with diabetes?
<7 for most adults
<6.5 for adults with T2DM
7.1-8.5 for functionally dependent, recurrent hypoglycemia, frail and elderly
<7.5 for most children and youth
Which is the preferred insulin when starting an adult with type 1 diabetes on insulin therapy: Basal or bolus dosing?
Basal dosing
A consult service that adults with type 1 diabetes should be referred to is…
Endocrinology
