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