Type I Diabetes (L1)

Question 1

Type I diabetes risk factors

Answer 1

Family history

Northern European descent

Question 2

Iatrogenic

Answer 2

Relating to illness caused by medical examination or treatment

Question 3

Diabetes treatment goals

Answer 3

Preserve life
Alleviate symptoms
Achieve food glycaemic control
Avoid iatrogenic side effects e.g. hypoglycaemia

Question 4

Therapeutic management of type I diabetes

Answer 4

Insulin injections (first line)
Modify diet (low fat, high fibre)

Question 5

Type I diabetes monitoring

Answer 5

Blood glucose to adjust insulin dose and good general glycaemic control
Monitor complications e.g. eye, foot, CVD

Question 6

Type I diabetes non-pharmacological advice

Answer 6

Exercise
Education
Psychosocial support

Question 7

Insulin therapy complications

Answer 7

Newly diagnosed Type I patients may have a “remission” phase where low levels of insulin are required to maintain good glycaemic control
Hypoglycaemia
Lipohypertrophy
Insulin allergy (rare)

Question 8

Define lipohypertrophy and how to avoid

Answer 8

Accumilation of fat at injection sites due to local effects of insulin
Avoid by rotating injection sites