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10 Cards in this Set
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how to ds
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3 ways
1.random glucose >200 or greater in a symptomatic patient sis diagnostic 2. 2 hours- 75% oral glucose tolerance test > 200 mg/ dl 3.fasting blood sugar( FBS) . 126 mg/ dl that must be confirm on subsequent day |
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when t o order glucose tolerance test
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RF fro DM 2 type
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type I pathogenesis
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no insulin production>>> insulin dependentDM- IDDM
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chance to get IDDM in monos twins and who could be sick
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50 % , young adult and chidren
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what types of DM 1
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type A - positive autoimmune markers with anti islet AB and / or anti glutamic acid decarboxylase ( Anti GAD AB)
type B has no detectable AB |
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what is LADA
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latent autoimm diabetes of adult hood
... no insulin production>>>IDDM 15 % of older new onset DM and will have + anti GAD AB |
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type 2 DM pathogenesis
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perif insulin resistance.>>>noninsulin dependent DM ( NIDDM
30 % if 1 of parents are affect 90 % if both |
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what is MODY
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maturity onset diabeters( genetic mutation- >>>> affect beta cell fuctions
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when will be secondary DM
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1acromegaly- insulin blocked by GF
2 glucocorticoid exess 3 hemachromatosis 4 glucanoma |
