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Medicine

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Endocrine

Question
3 out of 21
 

All of the following are true about Type I DM, Except:



A Strong family history

B Usually occur in children

C Autoimmune etiology

D Insulin is required for management of DKA

Ans. A

Strong family history

(Ref. Hari- 18th ed., Pg. 2972)

Ratio of type I & type II diabetes in India. = 5% : 95%

Features that suggest Type - 1 DM

1). Patient has normal Weight or underweight Q

2). Presence of autoantibodies: islet cell antibodies (lCA) and anti-glutamic acid decarboxylase (GAD) antibodies;

3). Ketonuria Q on urine dipstick.

4). Family history may or may not be positive

5). Autoimmune destruction of more than 80% of beta cells Q(Schmidt syndrome or polyglandular failure syndrome)

6). Other autoimmune diseases (Thyroid disorders, Addison, RA etc.) may be there Q

7). Serum insulin levels are low Q

8). HLA DR3, DR4

9). Main treatment is insulin.

Endocrine Flashcard List

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