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WK 12: Pathological Effects of Diabetes

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30 Questions

What is the estimated financial cost of diabetes to the Australian community?

More than $10 billion

Compared to the non-indigenous population, the indigenous population is how much more likely to have diabetes?

More than 3 times as likely

What is the primary criterion for diagnosing diabetes?

Symptoms of diabetes plus a random blood glucose concentration ≥ 11.1 mmol/L

What is the term for a fasting plasma glucose level of 6.1 mmol/L to 6.9 mmol/L?

Impaired fasting glucose

What proportion of diabetes deaths is attributed to individuals aged 55-64 years in the indigenous population compared to non-indigenous individuals?

4 times greater

What is the characteristic metabolic disorder of diabetes?

Hyperglycaemia

How many Australians develop diabetes every day?

280

What is the estimated number of Australians with diabetes by 2031?

3.3 million

How many Australians have developed diabetes in the past year?

120,000

What percentage of Australians with diabetes remain undiagnosed?

25%

How often does a new case of diabetes occur in Australia?

Every 5 minutes

What is the total number of Australians with diagnosed and undiagnosed diabetes?

1.8 million

What is the main mechanism of non-enzymatic glycosylation in diabetes?

Glucose interacts with amino groups on proteins leading to AGEs

What is a characteristic of type 2 diabetes mellitus?

Deficiency of insulin is mild relative to that of type 1 DM

What is a secondary cause of diabetes?

All of the above

What is the result of non-enzymatic glycosylation over a lifetime?

Irreversible accumulation of AGEs over lifetime of blood vessels

What is a complication of diabetic renal disease?

Atherosclerosis

What is the name of the test that measures the average blood glucose levels over a period of time?

Glycosylated hemoglobin (HbA1c)

Which mechanism is not a main contributor to diabetic complications?

Intracellular hypoglycaemia with disturbances in polyol pathways

What is not a manifestation of diabetic renal disease?

Acute tubular necrosis

What is the criteria for the diagnosis of diabetes?

Fasting plasma glucose ≥7.0mmol/L and 2 hr plasma glucose ≥11.1 (during oral glucose tolerance test)

What is true about type 1 DM and type 2 DM?

Type 2 DM is more common than type 1 DM

What is false about glucagon?

Glucagon works by improving the uptake of glucose from the blood across cell membranes into cells

What is the mechanism that operates to control blood glucose levels?

Negative feedback mechanism

What is a long-term complication of diabetes affecting multiple organs?

Gastroparesis

What is the characteristic morphological change observed in the pancreas in late complications of diabetes?

Reduction in size

Which of the following is a common vascular complication in diabetes?

Retinopathy

What is the microvascular change that occurs in diabetic ocular complications?

Diffuse thickening of the basement membrane

Which vascular complication in diabetes is associated with an increased risk of coronary artery disease and renal insufficiency?

Atherosclerosis

What is a characteristic pathological finding in diabetic nephropathy?

Diffuse thickening of the basement membrane

Learn about the prevalence and impact of diabetes in Australia, including statistics on death rates and financial costs. Explore the disparities in diabetes rates between indigenous and non-indigenous populations. Understand the definition of diabetes as a group of metabolic disorders characterized by hyperglycaemia.

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