Diabetes Mellitus And Other Disorders Of Metabolism

Diabetes Mellitus And Other Disorders Of Metabolism
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Diabetes Mellitus And Other Disorders Of Metabolism
Question 1
I would like to know the exact mechanism of entry of potassium into
cells under the influence of insulin.
Question 2
I am seeing an increasing number of diabetic patients in primary care
who have elevated fasting blood glucose readings but postprandial
measurements that are normal or only slightly high. Does this indicate
insulin resistance in these patients? What is the reason for this trend?
Question 3
What are the latest diagnostic criteria for the diagnosis of diabetes
Question 4
What test is recommended for diabetes and can the same be used to
diagnose diabetes in a child?
Question 5
What is the value of glycosylated haemoglobin (HbA1C) in diabetes
Question 6
I read in a book that in diabetics the random blood sugar is more
important than the fasting; on a medical website I noted that, for a
patient with type 2 diabetes, the fasting blood sugar level is more
important. What do you say?
Is it acceptable to let the fasting blood sugar remain at approximately
1.5 mmol/L above the upper limit in a patient of 60 years with type 2
and presently on oral therapy?
19 Diabetes mellitus and other
disorders of metabolism
Diabetes mellitus and other disorders of metabolism 19
Question 7
In type 2 diabetes, which blood sugar – fasting or random – is more
revealing prognostically?
Question 8
Why are the fasting and 2-hour blood glucose levels needed in a diabetic
patient being treated with oral antidiabetic drugs?
Question 9
Is it sufficient to use a fasting blood sugar and glycosylated haemoglobin
(HbA1C) level as a guide to modify the insulin or oral antidiabetic dose
without considering the 1 and 2 hour postprandial values?
Question 10
What is the value of the 2-hour postprandial blood sugar level above
which the dose of an oral antidiabetic should be increased if this value is
exceeded several times despite dietary modification?
Question 11
What does BM mean in relation to blood sugar monitoring?
Question 12
What is the role of urine examination in diabetic control?
Question 13
Diabetes and diet: could the authors of my favourite medical text please
advise whether or not it is acceptable to have controlled quantities of
refined sugar, providing the total calorie intake is kept under control?
Question 14
Do non-obese patients with impaired fasting glucose, i.e. a glucose level
of 6.1–6.9 mmol/L, need drug treatment with biguanides if lifestyle
modifications fail to normalize?
Question 15
Do non-obese patients with impaired glucose tolerance (but not fulfilling
the criteria for diabetes mellitus) need drug treatment with biguanides if
lifestyle modifications fail to normalize their post-prandial blood glucose
Question 16
It is the Muslim month of fasting currently. I would be grateful if you
could advise on how to adjust the insulin regimen of a type 1 diabetic
patient, for example a 21-year-old girl who is on subcutaneous Actrapid
(short-acting soluble insulin) 22 units t.d.s.
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