Alcohol and Diabetes
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Questions and Answers

Which test is mainly used for diagnosis of impaired glucose tolerance?

  • HbA1c measurement
  • Fasting blood glucose test
  • Oral glucose tolerance test (correct)
  • Random blood glucose test

    • What is the recommended amount of alcohol intake for patients with diabetes?

  • Heavy alcohol intake
  • No alcohol intake
  • Alcohol intake with medication
  • Moderate alcohol intake (correct)

    • What is delayed hypoglycaemia?

  • A condition where blood glucose levels rise slowly (correct)
  • A condition where blood glucose levels drop rapidly
  • A condition where blood glucose levels drop slowly
  • A condition where blood glucose levels rise rapidly

    • When is an oral glucose tolerance test required?

    <p>When blood glucose concentration does not establish or exclude diabetes</p> Signup and view all the answers

    What does HbA1c test reflect?

    <p>Average plasma glucose over the previous 2 to 3 months</p> Signup and view all the answers

    What is the standardised unit used to express HbA1c values?

    <p>mmol/mol</p> Signup and view all the answers

    What is the equivalent value of 53 mmol/mol IFCC-HbA1c in DCCT-HbA1c?

    <p>7.0%</p> Signup and view all the answers

    Can HbA1c be used for diagnosis of type 1 diabetes?

    <p>No</p> Signup and view all the answers

    How often should HbA1c be measured in patients with type 1 diabetes?

    <p>Every 3 to 6 months</p> Signup and view all the answers

    What is an alternative test that can be used for patients with disturbed erythrocyte turnover?

    <p>Fructosamine estimation</p> Signup and view all the answers

    What is the timeframe for which fructosamine concentration measures glycated fraction of all plasma proteins?

    <p>14 to 21 days</p> Signup and view all the answers

    What is the association between HbA1c and long term vascular complications?

    <p>Lower HbA1c is associated with a higher risk of long term vascular complications</p> Signup and view all the answers

    Which test is mainly used for diagnosis of impaired glucose tolerance?

    <p>Oral glucose tolerance test</p> Signup and view all the answers

    What is the recommended amount of alcohol intake for patients with diabetes?

    <p>Moderate alcohol intake</p> Signup and view all the answers

    What is delayed hypoglycaemia?

    <p>A condition where blood glucose levels rise slowly</p> Signup and view all the answers

    When is an oral glucose tolerance test required?

    <p>When blood glucose concentration does not establish or exclude diabetes</p> Signup and view all the answers

    What does HbA1c test reflect?

    <p>Average plasma glucose over the previous 2 to 3 months</p> Signup and view all the answers

    What is the standardised unit used to express HbA1c values?

    <p>mmol/mol</p> Signup and view all the answers

    What is the equivalent value of 53 mmol/mol IFCC-HbA1c in DCCT-HbA1c?

    <p>7.0%</p> Signup and view all the answers

    Can HbA1c be used for diagnosis of type 1 diabetes?

    <p>No</p> Signup and view all the answers

    How often should HbA1c be measured in patients with type 1 diabetes?

    <p>Every 3 to 6 months</p> Signup and view all the answers

    What is an alternative test that can be used for patients with disturbed erythrocyte turnover?

    <p>Fructosamine estimation</p> Signup and view all the answers

    What is the timeframe for which fructosamine concentration measures glycated fraction of all plasma proteins?

    <p>14 to 21 days</p> Signup and view all the answers

    What is the association between HbA1c and long term vascular complications?

    <p>Lower HbA1c is associated with a higher risk of long term vascular complications</p> Signup and view all the answers

    What is the recommended way for patients with diabetes to consume alcohol?

    <p>Drink alcohol only in moderation and with food</p> Signup and view all the answers

    When is an oral glucose tolerance test recommended for patients with diabetes?

    <p>For diagnosis of impaired glucose tolerance</p> Signup and view all the answers

    What is the purpose of an oral glucose tolerance test?

    <p>To measure blood glucose concentration 2 hours after drinking a standard glucose drink</p> Signup and view all the answers

    What is glycated haemoglobin (HbA1c)?

    <p>A test that reflects average plasma glucose over the previous 2 to 3 months</p> Signup and view all the answers

    What is the unit used to express HbA1c values?

    <p>mmol/mol</p> Signup and view all the answers

    What is the equivalent value of 53 IFCC-HbA1c in DCCT-HbA1c?

    <p>7.0%</p> Signup and view all the answers

    Can HbA1c be used for diagnosis of type 1 diabetes?

    <p>No</p> Signup and view all the answers

    What is the recommended frequency for monitoring HbA1c in patients with type 1 diabetes?

    <p>Every 3 to 6 months</p> Signup and view all the answers

    What is the recommended frequency for monitoring HbA1c in patients with type 2 diabetes?

    <p>Every 3 to 6 months</p> Signup and view all the answers

    What is the recommended way to measure glycaemic control in patients with disturbed erythrocyte turnover?

    <p>Fructosamine estimation</p> Signup and view all the answers

    What is the recommended way to measure glycaemic control in patients who have had a recent blood transfusion?

    <p>Total glycated haemoglobin estimation</p> Signup and view all the answers

    What is fructosamine estimation?

    <p>A laboratory measurement that measures the glycated fraction of all plasma proteins over the previous 14 to 21 days</p> Signup and view all the answers

    Study Notes

    Diagnosis and Monitoring of Diabetes

    • The oral glucose tolerance test (OGTT) is mainly used for diagnosis of impaired glucose tolerance.
    • The recommended amount of alcohol intake for patients with diabetes is 1 unit per day for women and 2 units per day for men.

    HbA1c Test

    • HbA1c test reflects the average blood glucose level over the past 2-3 months.
    • The standardized unit used to express HbA1c values is mmol/mol (IFCC) or % (DCCT).
    • The equivalent value of 53 mmol/mol IFCC-HbA1c is 7% DCCT-HbA1c.
    • HbA1c cannot be used for diagnosis of type 1 diabetes.
    • HbA1c should be measured every 3-6 months in patients with type 1 diabetes.

    Alternative Tests

    • Fructosamine estimation is an alternative test that can be used for patients with disturbed erythrocyte turnover.
    • Fructosamine concentration measures the glycated fraction of all plasma proteins over the past 2-3 weeks.

    Complications and Associations

    • There is a strong association between HbA1c and long-term vascular complications.

    Additional Information

    • Delayed hypoglycaemia is a potential complication of diabetes treatment.
    • An oral glucose tolerance test is required when there is a suspicion of impaired glucose tolerance or diabetes.
    • Patients with diabetes should consume alcohol in moderation, accompanied by food, and avoid binge drinking.

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    Description

    Test your knowledge of the effects of alcohol on hypoglycemia and the use of oral glucose tolerance tests in diabetes diagnosis with this informative quiz. Learn about the importance of drinking alcohol in moderation and with food, and discover when the oral glucose tolerance test is necessary. Keywords: alcohol, hypoglycemia, diabetes, glucose tolerance test.

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