Highlights
Task:
Question 1 Pancreatic islet cells produce glucagon, insulin and somatostatin.
Which islet cells produce each hormone and how does each hormone work to regulate blood glucose levels?
Question 2 Define gluconeogenesis and glycogenolysis?
Question 3 Kenchana Singh, a patient with a history of T1DM begins to tremble, feel sweaty and complains of nausea and dizziness. You take her BGL and it is 2.8 mmol/L. Provide thestep by step management of a blood sugar level of 2.8 mmol/L.
Question 4 Explain the following in detail.
Pathophysiology of Diabetic Ketoacidosis.
State two causes of DKA
List the signs and symptoms of DKA including the blood glucose and blood ketone levels confirming diagnosis.
Question 5 Explain the following, in detail.
Pathophysiology of Hyperosmolar Hyperglycaemic Acidosis (5 marks)
Investigative markers confirming diagnosis i.e blood glucose, blood ketone, Se osmolarity and Se bicarbonate levels, and clinical presentation
List three management priorities of HHA
Question 6 Identify five genetic markers which confirm a diagnosis of T1DM.
Do not include genetic risk factors, HbA1c, blood glucose level, blood ketone level or signs and symptoms.
Question 7 You are running an education session in a primary health care setting, on foot care in people with diabetes. Provide 10 instructions on foot care.
Question 8 Explain HbA1c – describe the test and explain how the result gives a reading for the patient’s average BGL over the last 3-4 months. State the HbA1c reading confirming a diagnosis of diabetes.
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