Worksheets529 ME DM 1 SESSION 1
Total questions: 10
Worksheet time: 5mins
A 45-year-old patient presents with polyuria, polydipsia, and blurred vision. Their HbA1c is 52 mmol/mol and random plasma glucose is 13.2 mmol/L. According to WHO diagnostic criteria, what is the most appropriate next step?
Repeat the test in 6 months
Perform an oral glucose tolerance test
Diagnose diabetes mellitus immediately
Check fasting plasma glucose only
Request autoantibody testing
What percentage of people with diabetes in the UK have Type 2 diabetes?
70%
80%
85%
90%
95%
A 28-year-old patient presents with rapid weight loss over 3 weeks, ketosis, and a BMI of 23 kg/m². Their random glucose is 18.5 mmol/L. Which diagnostic test would be most helpful to confirm the suspected diagnosis?
HbA1c measurement
C-peptide levels
Oral glucose tolerance test
Fructosamine levels
Lipid profile
According to NICE guidelines, what is the standard HbA1c target for most adults with diabetes?
<42 mmol/mol (6.0%)
48 mmol/mol (6.5%)
53 mmol/mol (7.0%)
58 mmol/mol (7.5%)
Which blood glucose level indicates hypoglycaemia requiring immediate action?
<3.0 mmol/L
<4.0 mmol/L
<5.0 mmol/L
<6.0 mmol/L
<7.0 mmol/L
What is the target blood glucose range before meals for people with diabetes?
3-6 mmol/L
4-7 mmol/L
5-8 mmol/L
6-9 mmol/L
7-10 mmol/L
A 35-year-old woman develops diabetes during pregnancy. What is this condition called, and what typically happens after delivery?
Type 1 diabetes; requires lifelong insulin
Type 2 diabetes; becomes permanent
Gestational diabetes; usually resolves after delivery
MODY; requires genetic testing
Type 3c diabetes; requires enzyme replacement
What is the most common cause of Type 3c diabetes?
Cystic fibrosis
Chronic pancreatitis
Pancreatic cancer
Hemochromatosis
Corticosteroid therapy
How often should HbA1c be monitored in people with diabetes?
Monthly
Every 2 months
Every 3-6 months
Every 6-12 months
Annually
In Type 1 diabetes, the autoimmune destruction primarily targets which cells?
Alpha cells in pancreatic islets
Beta cells in pancreatic islets
Delta cells in pancreatic islets
Hepatocytes in the liver
Muscle cells in skeletal tissue
