Please enable JavaScript.

Coggle requires JavaScript to display documents.

Diabetes mellitus - Coggle Diagram

- - - - performed 3 monthly
    - - alternative for HbA1c in haemoglobinopathies
    - - helpful for titrating insulin dose
- - - - In the presence of symptom
        
        Random plasma glucose
        
        >= 11.1 mmol/L or 200mg/dl
        
        Fasting plasma glucose
        
        >= 7.0 mmol/L or 126 mg/dl
        
        2 hours plasma glucose after 75g OGTT
        
        >=11.1 mmol/L or 200mg/dl
      - without symptom
        
        one of the above criteria fullfilled on two separate occcasions
  - - - >= 48mmol/mol(6.5%)
        
        with symptom
        
        with plasma glucose concentration >= 11.1 mmol/L
        
        without symptom
        
        second sample
        
        < 48mmol/mol(6.5%)
        
        should be treat as high risk
        
        test should be repeat at 6 month
      - >= 42mmol/mol(6.0%)
        
        life style intervention
        
        to prevent and delay onset of DM
    - - children and young people
      - Type 1 DM
      - symptom onset within 2 months
      - pregnancy
      - Medications
        
        steroids
      - factors that influence HbA1c
        
        Genetic
        
        haematologic
        
        haemolytic anaemia
        
        haemoglobinopathies
        
        illness related factors
  - - - overnight fast(>=8 hours)
      - fasting plasma glucose
      - 75g anhydrous glucose to drink
      - 2nd blood sample 2 hours later
    - - fasting
        
        <7.0mmol/l or 126mg/dl
      - 2hr pp
        
        >=7.8 mmol/l but < 11.1 mmol/l or >=140 mg/dl but <200 mg/l
    - - fasting
        
        6.1 mmol/l to 6.9 mmol/l or 110 mg/dl to 124 mg/dl
      - 2hr pp
        
        <7.8mmol/l or 140mg/dl
- - - - symptoms of diabetes
      - risk factors for DM
        
        overweight or obese
        
        artherosclerotic disease
        
        first degree relative with type 2 DM
        
        african - caribbean
        
        Middle eastern
        
        south asian origin
    - - BMI>23kg/m2
        
        south asian origin
        
        african - caribbean
        
        chinese
        
        black african