Clinical and Communication Skills Elicit a history from a patient with type 1 diabetes mellitus; enquire about problems with management and disease complications Examine a patient with diabetes mellitus; recognise complications and cutaneous manifestations, especially associated with injection sites Differential diagnosis of type 1 diabetes mellitus and hypoglycaemia Perform a capillary blood glucose measurement and urine dipstick Interpret blood glucose levels, ketones, urine dipstick, HbA1c; know how to use and interrogate blood glucose meter Management strategies for type 1 diabetes mellitus, including indications and training for use of an insulin pump Management of hypoglycaemic episode including nonpharmacologic (e.g. eating) and pharmacologic (glucagon injection) methods Recognition of factors that contribute to hypoglycaemia: complication of aggressive glycaemic control, incorrect insulin dosing, not eating or excessive exercise, alcohol or drug consumption Role of the diabetic nurse specialist, dietitian, GP and diabetes specialist
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