Clinical Picture of Diabetes Mellitus

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Questions and Answers

What is a common initial treatment for patients diagnosed with Type 1 diabetes?

  • Diet modification alone
  • Oral antihyperglycemics
  • Insulin therapy (correct)
  • Increased physical activity

Which symptom is typically NOT associated with Type 1 diabetes?

  • Blurred vision
  • Weight gain (correct)
  • Polydipsia
  • Polyuria

Which of the following complications is associated with Type 2 diabetes?

  • Ketonuria
  • Acute diabetic ketoacidosis
  • Infections of the skin (correct)
  • Hypoglycemia

What is a characteristic feature of Type 2 diabetes in its early stages?

<p>Typically asymptomatic for long periods (A)</p> Signup and view all the answers

What diagnostic criteria are commonly used for diagnosing Type 2 diabetes?

<p>Fasting blood glucose and a glucose load (D)</p> Signup and view all the answers

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Study Notes

Type 1 Diabetes Clinical Picture

  • Characterized by polyuria, an increase in urine volume due to high blood sugar levels.
  • Polydipsia occurs, leading to excessive thirst and increased fluid intake, caused by dehydration.
  • Patients may experience polyphagia, an increase in appetite due to insulin deficiency.
  • Noticeable weight loss is common as the body breaks down fat for energy.
  • Blurred vision may result from osmotic changes affecting the eye.
  • Symptoms of oral or genital candidiasis may appear due to high glucose levels.
  • Blood glucose levels are markedly elevated, confirming the diagnosis.
  • Immediate treatment with insulin is crucial to manage the condition.
  • Presence of glucosuria (glucose in urine) and ketonuria (ketones in urine).

Type 2 Diabetes Clinical Picture

  • Often remains asymptomatic for extended periods, may go undiagnosed.
  • Long-term complications may occur in individuals unaware of their diabetic status.
  • Strongly associated with obesity, a key risk factor for this type.
  • Symptoms may include thirst, polyuria, and skin/urinary tract infections.
  • Blood glucose levels may be only mildly elevated, complicating diagnosis.
  • Diagnostic criteria include fasting blood glucose levels and measurement 2 hours after an oral glucose tolerance test (75 g glucose load).

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