Type 1 Diabetes Mellitus
Washed
Ive been asked to see ...
Im Hadley, you must be ...
Position Pain
Exposure
Equipt: glucose monitor, insulin, glasses
Well
Growth (insufficient insulin, compliance, thyroids, CF, B thal)
- Tanner
Obs
Dysmorph
Hydration
Hands
Temp chart for infection precipitant
UA gluc/ket/prot/blood
BSL log
Medications chart
Ix
Insulin Abs, MODY genetics
HbA1C
Urine ACR, lipids, 24h BP
TFT, Coeliac serology
Hearing (DIDMOAD)
Associations
CF (clubbing, cough)
B-Thalassaemia (hyperpigmentation, malar facies
Friedreich ataxia
Wolfram syndrome (DI, DM, optic atrophy and deafness)
Cushings
Ive been asked to see ...
Im Hadley, you must be ...
Position Pain
Exposure
Equipt: glucose monitor, insulin, glasses
Well
Growth (insufficient insulin, compliance, thyroids, CF, B thal)
- Tanner
Obs
Dysmorph
Hydration
Hands
- Trophic changes (shiny, hairless skin)
- finger pricks
- Catherdral sign (limited joint mobility of DM), if pos check IPs, MCP, Wrist, elbow
- Palmar pigmentation (Additions, Thal)
- HTN: Diabetic nephropathy
- Postural hypotension (autonomic neuropathy, DKA)
- Hypotension (Addison's)
- VA
- Ophthalmoplegia (neuropathy)
- Opthalmoscopy
- Red reflexes (Cataract)
- retinopathy (microaneurysms, retinal haemorrhages, cotton wool spots (infarcts)
- Optic Atrophy (DIDMOAD)
- Red reflexes (Cataract)
- hearing
- infection
- Infection
- Ketosis
- Candida
- inspect, swallow, palate, auscultate (bruit from increase vasc in graves) thyroid
- Tanner (delay)
- pneumonia
- Pump/CGM
- injection sites
- fat atrophy/hypertrophy
- distension (coeliac)
- Tanner
- Hepatomegaly (fat if underinsulinised, glycogen if over insulinised)
- Perineal candidiasis
- injection sites
- fat atrophy/hypertrophy
- necrobiosis lipoidica
- neuropathy
- reflexes
- light touch
- vibration
- proprioception
Temp chart for infection precipitant
UA gluc/ket/prot/blood
BSL log
Medications chart
Ix
Insulin Abs, MODY genetics
HbA1C
Urine ACR, lipids, 24h BP
TFT, Coeliac serology
Hearing (DIDMOAD)
Associations
CF (clubbing, cough)
B-Thalassaemia (hyperpigmentation, malar facies
Friedreich ataxia
Wolfram syndrome (DI, DM, optic atrophy and deafness)
Cushings