Type 1 Diabetes

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T1DM
Simeon Crane
Fichas por Simeon Crane, actualizado hace más de 1 año
Simeon Crane
Creado por Simeon Crane hace casi 6 años
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Pregunta Respuesta
What is the HbA1c target value for people with Type 1 Diabetes? <48mmol/mol
Name the 6 viruses that have been shown to trigger Type 1 Diabetes -Mumps -Rubella -Enteroviruses -Rotaviruses -Cytomegalovirus -Epstein-Barr Virus
What are the two most common symptoms presented by patients with T1DM? Polydipsia and polyuria
What are the 7 environmental components that could trigger Type 1 Diabetes? - Chemicals -Viruses -Bacteria -Psychological stress -Food components -Energy intake -Perinatel factors
Name 4 long acting insulin brands Glargine Detemir Lantus Levimer
What are the two methods to isolate a gene for cloning and expression? -Polymerase chain reaction - Restriction endonucleases
What 2 organisms are second generation recombinant insulins produced in? -E.coli -Yeast
What is upstream and downstream processing? Upstream refers to the material inputs needed for production. Downstream is where products get produced and distributed.
What is the EMEA? European Medicines Agency
What is the onset of action on Insulin Aspart (Novorapid)? 10-20 minutes
Give 4 requirements of inhaled insulin devices? Portable Convenient to use Give reproducible delivery to the lower airways where absorption is good Avoid delivering insulin too fast
Give 4 advantages of insulin pumps - Avoiding insulin injections - Greater freedom and flexibility - Fewer large swings in blood glucose -Improvements in HBA1c
What 4 properties should replacement Beta cells ideally have? - Capable of expansion to usual numbers - Glucose responsive insulin secretion - Able to control proliferative capacity - Able to invade immune destruction
What 3 immunosuppressive drugs are given after an islet transplantation -Tacrolimus -Sirolimus -Alemtuzumab
What are the 3 microvascular complications of diabetes? - Retinopathy - Neuropathy - Nephropathy
Name 3 conditions where organ donation is ruled out completely - A cancer that has spread - A severe or untreated infection - Creutzfeldt-Jakob disease (CJD)
Where is Insulin secreted from? Beta cells in the Islet of Langerhans of the pancreas
What is the major role of Insulin? The uptake and storage of glucose into cells to be used for energy
What is Glycogen? A polysaccharide glucose polymer that is stored in the liver
What effect does insulin have on Glycogen? Promotes synthesis of glycogen and blocks glycogenolysis (the breakdown of glycogen)
What is gluconeogenesis? The formation of glucose in the liver from non-carb sources e.g. lactate and fatty acids
Where is Glucagon produced? In the alpha cells in the Islet of Langerhans
What are the 3 measurable signs of Diabetic Ketoacidosis? Blood glucose above 11mmol/L Blood ketones above 3mmol/L Blood pH under 7.3
What is the onset of action of insulin lispro? 15 minutes
What is the onset of action of insulin glargine? 1.1 Hours
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