Question
a) In a patient with diabetes mellitus, name 4 clinical features that may indicate autonomic involvement? (4 marks)
b) Name 3 other microvascular and 3 macrovascular complications of diabetes mellitus (6 marks)
c) What is the recommended upper limit of HbA1C for elective surgery (1 mark)
d) What is the association of Anaesthetists of Great Britain and Ireland (AAGBI) guidance for perioperative blood glucose monitoring in diabetic patients (3 marks)
e) List 3 classes of oral hypoglycaemic agents that are available (3 marks) and describe the mechanism of action of each (3 marks)