Diabetes GP TALK June 2011 - Dr Nick Mann.pdf - Oxfordlearning ...

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Type 2 <strong>Diabetes</strong> • Obese ++ usually BMI > 99.6 th centile • Insulin resistance • Few symptoms • No ketosis • Respond to oral medication • 32% β-cell antibody +ve
Outcome of young Type 2 diabetes • High incidence of microalbuminuria • High incidence of renal failure • Retinopathy common • In young people outlook just as bad as type 1 in terms of morbidity and mortality • Refer to Children’s <strong>Diabetes</strong> clinic
Page 1 and 2: Prompt diagnosis of diabetes
Page 3 and 4: Less common presenting features •
Page 5 and 6: What to do
Page 7 and 8: Plan for DKA • Urgent hospital tr
Page 9 and 10: Well child- models of care • Admi
Page 11: Acanthosis Nigricans
Page 15 and 16: Risk Factors • Poor compliance
Page 17 and 18: Definition of ketoacidosis • Gluc
Page 19 and 20: Confirm the Diagnosis : History : p
Page 21 and 22: DKA How Common • 12 new children
Page 23 and 24: Management •Fluid management •I
Page 25 and 26: Fingerprick ketone testing

Diabetes GP TALK June 2011 - Dr Nick Mann.pdf - Oxfordlearning ...

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