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® IGCSE is the registered trademark of Cambridge International Examinations.
This syllabus is approved for use in England, Wales and Northern Ireland as a Cambridge International Level 1/Level 2 Certificate.
This document consists of 11 printed pages.
© UCLES 2016 [Turn over]
Cambridge International Examinations
Cambridge International General Certificate of Secondary Education
BIOLOGY 0610/42
Paper 4 Theory (Extended) May/June 2016
MARK SCHEME
Maximum Mark: 80
This mark scheme is published as an aid to teachers and candidates, to indicate the requirements of the
examination. It shows the basis on which Examiners were instructed to award marks. It does not indicate the
details of the discussions that took place at an Examiners’ meeting before marking began, which would have
considered the acceptability of alternative answers.
Mark schemes should be read in conjunction with the question paper and the Principal Examiner Report for
Teachers.
Cambridge will not enter into discussions about these mark schemes.
Cambridge is publishing the mark schemes for the May/June 2016 series for most Cambridge IGCSE®
,
Cambridge International A and AS Level components and some Cambridge O Level components.
Published
Page 2 Mark Scheme Syllabus Paper
Cambridge IGCSE – May/June 2016 0610 42
© Cambridge International Examinations 2016
Abbreviations used in the Mark Scheme
• ; separates marking points
• / separates alternatives within a marking point
• R reject
• ignore mark as if this material was not present
• A accept (a less than ideal answer which should be marked correct)
• AW alternative wording (accept other ways of expressing the same idea)
• underline words underlined (or grammatical variants of them) must be present
• max indicates the maximum number of marks that can be awarded
• mark independently the second mark may be given even if the first mark is wrong
• ecf credit a correct statement that follows a previous wrong response
• ( ) the word / phrase in brackets is not required, but sets the context
• ora or reverse argument
• AVP any valid point
Page 3 Mark Scheme Syllabus Paper
Cambridge IGCSE – May/June 2016 0610 42
© Cambridge International Examinations 2016
Question Answer Marks Guidance Notes
1 (a) septum ; [1]
(b) (i) blood flows through heart twice, for one (complete) circuit / to get
backto the same point ;
one loop to lungs, and one loop to rest of the body ; [max 1]
(ii) high(er), blood pressure/flow rate (than single circulation) ;
allows different blood pressure in each loop ;
prevent mixing of oxygenated and deoxygenated blood ;
allows animals to have high metabolic rates ;
allows animals to be, large/tall ; [max 1]
A more efficient / faster, delivery / removal, of a
named blood component e.g. oxygen
I maintain blood pressure
(c) description name of structure letter on Fig 1.1
heart chamber with
the thickest muscular
wall
left ventricle C ;
the blood vessel
carrying oxygenated
blood to the heart
pulmonary vein K ;
the blood vessel that
carries oxygenated
blood away from the
heart
aorta P ;
a blood vessel that
carries blood away
from the kidneys
renal vein M ;
the blood vessel with
the largest lumen
vena cava N [4]
one mark for each correct row
Page 4 Mark Scheme Syllabus Paper
Cambridge IGCSE – May/June 2016 0610 42
© Cambridge International Examinations 2016
Question Answer Marks Guidance Notes
(d) (blood) enters heart at right atrium/A (from the vena cava/N) ;
then atrium contracts ;
correct ref to atrioventricular valve ;
then to right ventricle/D ;
then ventricle contracts ;
correct ref to semi-lunar valves ;
then pulmonary artery/J, to lungs/O ; [max 4]
R contradictions between letters and structures
I valves unqualified
(e) (i) (more) exercise/AW ;
stop/less, smoking ;
reduced stress ; [max 1]
I ref to diet
(ii) stent ;
small mesh tube inserted in artery ;
opens/supports, (narrow/weak) artery ;
(balloon) angioplasty/dilatation ;
(tube/catheter with) balloon inserted into artery ;
inflate balloon to widen artery ;
by-pass ;
(another/shunt) blood vessel joined/grafted/replace, artery ; [max 2]
max 1 if no named procedure.
I open heart surgery/heart transplants
[Total: 14]
Page 5 Mark Scheme Syllabus Paper
Cambridge IGCSE – May/June 2016 0610 42
© Cambridge International Examinations 2016
Question Answer Marks Guidance Notes
2 (a) (i) single celled/unicellular ;
no (true) nucleus / no nuclear membrane ;
loop of DNA ;
no, (membrane-bound) organelles ; e.g. no mitochondria / chloroplasts
(peptidoglycan/murein) cell wall ;
reproduce by binary fission ;
small(er) /70S, ribosomes ;
plasmids ; [max 2]
I DNA strand unqualified A naked DNA
I flagella, capsule, pili, cilia
R cellulose cell wall
(ii) swim / movement / AW ; [1]
(b) harmless/attenuated/dead/AW, form of, (named) pathogen/antigen
used ;
(vaccine) injected/swallowed ;
ref to specific/unique/AW, antigen ;
lymphocytes make antibodies ;
ref to memory cells ;
ref to active immunity ;
rapid, immune response/AW, if exposure to same pathogen ;
herd immunity ;
AVP ; e.g. detail of active immunity/smallpox became extinct [max 4]
A long term immunity
(c) (i) 12 – 0.4 ;
11.6,au/arbitrary units ; [2]
(ii) large/rapid/immediate increases ;
peaks at, 50s / 12AU ;
then decrease to, around 5 – 4.6AU/by 125 –150s ;
fluctuates/stays (fairly) constant, between 125 – 150s and 250s/4.4
and 4.8 ± 0.2AU ; [max 3]
I comparisons to ‘without toxins’ on graph
A increases and decreases from 50 s
Page 6 Mark Scheme Syllabus Paper
Cambridge IGCSE – May/June 2016 0610 42
© Cambridge International Examinations 2016
Question Answer Marks Guidance Notes
(iii) active transport;
(through) protein (molecules/gates/pumps/AW) ;
(protein) in cell membrane ;
using, energy/ATP (from respiration) ;
(movement) against a concentration gradient/AW ; [max 3]
(d) (i) (small) intestine ;
[1]
A large intestine/duodenum/jejunum/ileum
/rectum/colon
(ii) oral rehydration (therapy/salts/treatment/solution) ;
drink mixture of, sugar/nutrients and, salt/ions ;
replace lost, water/fluids ;
water must be, uncontaminated/boiled/sterilised/clean/AW ;
antibiotics ; [2]
A receive intravenous fluids I drink more water
[Total: 18]
Page 7 Mark Scheme Syllabus Paper
Cambridge IGCSE – May/June 2016 0610 42
© Cambridge International Examinations 2016
Question Answer Marks Guidance Notes
3 (a) (i) 1 cross/breed, (parent) plants with desired feature ;
2 (grow seeds and) chose offspring for (desired) feature(s) ;
3 cross (offspring) plants showing features with, original
variety/self/each other ;
4 keep/many generations of, crossing and selecting ;
5 any detail ; e.g. bagging flowers/transfer of pollen (with
paintbrush)/detail of seed collection [max 3]
(ii) 1 two parents/gametes, are required ;
2 variation in offspring/offspring might not all be red ;
3 time consuming ;
4 AVP ; e.g. harvesting seeds/finding pollinators, can be
difficult/limited number of seeds/wasteful in context of unused
pollen [max 2]
I cost / energy
(b) 1 reduction/nuclear, division ;
2 chromosome number is halved ;
3 (diploid to) haploid ;
4 results in genetically different, cells/gametes/AW ; [max 2]
(c) (i) FA
FN
; [1]
(ii) pink (flowers) ;
[1]
ecf from (c)(i)
(iii) gametes: FA
, FN
, FA
, FA
;
offspring genotype: FA
FA
, FA
FN
;
offspring phenotype: red, pink ;
proportion of pure breeding carnation plants: 50%/1:1/0.5/half ; [4]
[Total:13]
Page 8 Mark Scheme Syllabus Paper
Cambridge IGCSE – May/June 2016 0610 42
© Cambridge International Examinations 2016
Question Answer Marks Guidance Notes
4 (a) movement/diffusion, of water (molecules) ;
from high water potential to low water potential/down water potential
gradient ;
across a partially permeable membrane ; [3]
(b) (i) 1.0 (mol dm–3
sodium chloride solution) ;
[1]
(ii) (to remove) excess/surface/AW, water/AW, on potato sticks ;
to measure the mass of the potato (stick) only ; [max 1]
I inaccurate unqualified
R dry mass
(c) cells/potato sticks, have lost water (by osmosis) ;
from high water potential to low water potential/down water potential
gradient ;
(cells/tissue/potato) were, plasmolysed/flaccid ;
loss of turgor (pressure) ;
not enough pressure of water pushing on cell walls ; [max 3]
I water concentration
I incipient (plasmolysis)
A reduced turgidity / description
(d) protein denatured (when cooked) ;
cell membrane, damaged/destroyed (when cooked) ;
no osmosis will occur ; [max 2]
R killed proteins
I killed/denatured, cells
I damaged cell wall
[Total: 10]
Page 9 Mark Scheme Syllabus Paper
Cambridge IGCSE – May/June 2016 0610 42
© Cambridge International Examinations 2016
Question Answer Marks Guidance Notes
5 (a) (i) testes ; [1] A adrenal gland / ovaries
(ii) increases, muscle mass/strength/power ;
improved recovery of muscle damage/promotes protein synthesis ;
increase, competitive drive/aggression/AW ;
increases bone, density/mass ; [max 1]
(iii) maintains, uterine lining/endometrium ;
inhibits, FSH / LH (release) ; [max 1]
R uterus wall. I thickens lining
(iv) oestrogen ; [1]
(b) A is most polluted because:
greater (overall) concentration of hormones ;
all hormones at higher concentration except oestrogen ;
comparative data quote with units ;
(but) similar levels of oestrogen/(natural) progesterone (to B) ;
B is most polluted because
more oestrogen (than A) ;
more types of hormones ; [max 3]
(c) (i) Lake B
oestrogen decreases (slightly) ;
progesterone/testosterone, increases (slightly) ;
Lake A or Lake B
no/little, effect on oestrogen/progesterone/testosterone without
ozone;
Lake A
chlorine with ozone caused, decrease in testosterone/synthetic
progesterone/increase in natural progesterone ; [max 2]
A mp 1, 2, 4 as data quotes
R little effect on testosterone with ozone
(ii) make the water safe, to return to the environment / for human use ;
kill, pathogens/ (harmful) microorganisms/bacteria ; [1]
I germs
A disinfectant/sterilisation
Page 10 Mark Scheme Syllabus Paper
Cambridge IGCSE – May/June 2016 0610 42
© Cambridge International Examinations 2016
Question Answer Marks Guidance Notes
(d)
eutrophication;
(aquatic) plants, die/cannot photosynthesise (due to blocked light)
algae/ (aquatic) plants/organic material, decayed by bacteria ;
(aerobic) respiration (by bacteria/decomposers) ;
decreased pH / increased acidity (due to low oxygen) ;
oxygen concentration decreases (due to
bacteria /decomposers) ;
(aquatic) animals/fish, migrate/die, due to lack of
oxygen ;
disrupted/altered, (aquatic) food chains/habitats ;
more, flies/mosquitoes ;
(more) waterborne (named) disease ; e.g. cholera/typhoid
smelly/visual pollution ;
toxicity / mutations caused, by heavy metals/sewage ;
(female contraceptive) hormones cause feminisation of (aquatic)
organisms ;
(female contraceptive) hormones cause reduced sperm count (in
aquatic animals) ; [max 6]
I marine and other non-lake ecosystems
I unqualified death/extinction throughout
A growth of, floating aquatic plants / algae / algal
bloom
A nutrients in sewage as organic material
A microorganisms/decomposers for bacteria
I all oxygen used up
A diseases/pathogen in humans or aquatic
organisms
A biomagnification/bioaccumulation /
death of (aquatic) organisms by, heavy metals /
toxins / poisons, in sewage
A hormone may cause gender change in fish
[Total : 16]
Page 11 Mark Scheme Syllabus Paper
Cambridge IGCSE – May/June 2016 0610 42
© Cambridge International Examinations 2016
Question Answer Marks Guidance Notes
6 (a) homeostasis/negative feedback ; [1]
(b) (i) insulin ; [1]
(ii) liver/muscle/pancreas ; [1]
(iii) glycogen; [1]
(c) Symptoms:
fatigue/AW ;
thirst/AW ;
increased urination/glucose in urine/fruity breath/ketosis/flushed face;
weight loss/nausea/vomiting/abdominal pain/hunger ;
blurred vision/glaucoma ;
behavioural
changes/confusion/faint/unconscious/coma(tose)/dizzy/rapid
breathing/deep breathing ;
slow (wound) healing/poor circulation ;
Treatment:
insulin ;
by injection/insulin pump ;
regular blood glucose tests ;
regular meals/controlled diet ;
[max 5]
max 3 from either section
A weakness I death
A meal plan / healthy eating / monitoring
carbohydrates / avoid sugary foods, drinks and
fruit juices / eat complex carbohydrates / intake of
sugar if blood sugar concentration is too low
[Total: 9]

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0610 s16 ms_42

  • 1. ® IGCSE is the registered trademark of Cambridge International Examinations. This syllabus is approved for use in England, Wales and Northern Ireland as a Cambridge International Level 1/Level 2 Certificate. This document consists of 11 printed pages. © UCLES 2016 [Turn over] Cambridge International Examinations Cambridge International General Certificate of Secondary Education BIOLOGY 0610/42 Paper 4 Theory (Extended) May/June 2016 MARK SCHEME Maximum Mark: 80 This mark scheme is published as an aid to teachers and candidates, to indicate the requirements of the examination. It shows the basis on which Examiners were instructed to award marks. It does not indicate the details of the discussions that took place at an Examiners’ meeting before marking began, which would have considered the acceptability of alternative answers. Mark schemes should be read in conjunction with the question paper and the Principal Examiner Report for Teachers. Cambridge will not enter into discussions about these mark schemes. Cambridge is publishing the mark schemes for the May/June 2016 series for most Cambridge IGCSE® , Cambridge International A and AS Level components and some Cambridge O Level components. Published
  • 2. Page 2 Mark Scheme Syllabus Paper Cambridge IGCSE – May/June 2016 0610 42 © Cambridge International Examinations 2016 Abbreviations used in the Mark Scheme • ; separates marking points • / separates alternatives within a marking point • R reject • ignore mark as if this material was not present • A accept (a less than ideal answer which should be marked correct) • AW alternative wording (accept other ways of expressing the same idea) • underline words underlined (or grammatical variants of them) must be present • max indicates the maximum number of marks that can be awarded • mark independently the second mark may be given even if the first mark is wrong • ecf credit a correct statement that follows a previous wrong response • ( ) the word / phrase in brackets is not required, but sets the context • ora or reverse argument • AVP any valid point
  • 3. Page 3 Mark Scheme Syllabus Paper Cambridge IGCSE – May/June 2016 0610 42 © Cambridge International Examinations 2016 Question Answer Marks Guidance Notes 1 (a) septum ; [1] (b) (i) blood flows through heart twice, for one (complete) circuit / to get backto the same point ; one loop to lungs, and one loop to rest of the body ; [max 1] (ii) high(er), blood pressure/flow rate (than single circulation) ; allows different blood pressure in each loop ; prevent mixing of oxygenated and deoxygenated blood ; allows animals to have high metabolic rates ; allows animals to be, large/tall ; [max 1] A more efficient / faster, delivery / removal, of a named blood component e.g. oxygen I maintain blood pressure (c) description name of structure letter on Fig 1.1 heart chamber with the thickest muscular wall left ventricle C ; the blood vessel carrying oxygenated blood to the heart pulmonary vein K ; the blood vessel that carries oxygenated blood away from the heart aorta P ; a blood vessel that carries blood away from the kidneys renal vein M ; the blood vessel with the largest lumen vena cava N [4] one mark for each correct row
  • 4. Page 4 Mark Scheme Syllabus Paper Cambridge IGCSE – May/June 2016 0610 42 © Cambridge International Examinations 2016 Question Answer Marks Guidance Notes (d) (blood) enters heart at right atrium/A (from the vena cava/N) ; then atrium contracts ; correct ref to atrioventricular valve ; then to right ventricle/D ; then ventricle contracts ; correct ref to semi-lunar valves ; then pulmonary artery/J, to lungs/O ; [max 4] R contradictions between letters and structures I valves unqualified (e) (i) (more) exercise/AW ; stop/less, smoking ; reduced stress ; [max 1] I ref to diet (ii) stent ; small mesh tube inserted in artery ; opens/supports, (narrow/weak) artery ; (balloon) angioplasty/dilatation ; (tube/catheter with) balloon inserted into artery ; inflate balloon to widen artery ; by-pass ; (another/shunt) blood vessel joined/grafted/replace, artery ; [max 2] max 1 if no named procedure. I open heart surgery/heart transplants [Total: 14]
  • 5. Page 5 Mark Scheme Syllabus Paper Cambridge IGCSE – May/June 2016 0610 42 © Cambridge International Examinations 2016 Question Answer Marks Guidance Notes 2 (a) (i) single celled/unicellular ; no (true) nucleus / no nuclear membrane ; loop of DNA ; no, (membrane-bound) organelles ; e.g. no mitochondria / chloroplasts (peptidoglycan/murein) cell wall ; reproduce by binary fission ; small(er) /70S, ribosomes ; plasmids ; [max 2] I DNA strand unqualified A naked DNA I flagella, capsule, pili, cilia R cellulose cell wall (ii) swim / movement / AW ; [1] (b) harmless/attenuated/dead/AW, form of, (named) pathogen/antigen used ; (vaccine) injected/swallowed ; ref to specific/unique/AW, antigen ; lymphocytes make antibodies ; ref to memory cells ; ref to active immunity ; rapid, immune response/AW, if exposure to same pathogen ; herd immunity ; AVP ; e.g. detail of active immunity/smallpox became extinct [max 4] A long term immunity (c) (i) 12 – 0.4 ; 11.6,au/arbitrary units ; [2] (ii) large/rapid/immediate increases ; peaks at, 50s / 12AU ; then decrease to, around 5 – 4.6AU/by 125 –150s ; fluctuates/stays (fairly) constant, between 125 – 150s and 250s/4.4 and 4.8 ± 0.2AU ; [max 3] I comparisons to ‘without toxins’ on graph A increases and decreases from 50 s
  • 6. Page 6 Mark Scheme Syllabus Paper Cambridge IGCSE – May/June 2016 0610 42 © Cambridge International Examinations 2016 Question Answer Marks Guidance Notes (iii) active transport; (through) protein (molecules/gates/pumps/AW) ; (protein) in cell membrane ; using, energy/ATP (from respiration) ; (movement) against a concentration gradient/AW ; [max 3] (d) (i) (small) intestine ; [1] A large intestine/duodenum/jejunum/ileum /rectum/colon (ii) oral rehydration (therapy/salts/treatment/solution) ; drink mixture of, sugar/nutrients and, salt/ions ; replace lost, water/fluids ; water must be, uncontaminated/boiled/sterilised/clean/AW ; antibiotics ; [2] A receive intravenous fluids I drink more water [Total: 18]
  • 7. Page 7 Mark Scheme Syllabus Paper Cambridge IGCSE – May/June 2016 0610 42 © Cambridge International Examinations 2016 Question Answer Marks Guidance Notes 3 (a) (i) 1 cross/breed, (parent) plants with desired feature ; 2 (grow seeds and) chose offspring for (desired) feature(s) ; 3 cross (offspring) plants showing features with, original variety/self/each other ; 4 keep/many generations of, crossing and selecting ; 5 any detail ; e.g. bagging flowers/transfer of pollen (with paintbrush)/detail of seed collection [max 3] (ii) 1 two parents/gametes, are required ; 2 variation in offspring/offspring might not all be red ; 3 time consuming ; 4 AVP ; e.g. harvesting seeds/finding pollinators, can be difficult/limited number of seeds/wasteful in context of unused pollen [max 2] I cost / energy (b) 1 reduction/nuclear, division ; 2 chromosome number is halved ; 3 (diploid to) haploid ; 4 results in genetically different, cells/gametes/AW ; [max 2] (c) (i) FA FN ; [1] (ii) pink (flowers) ; [1] ecf from (c)(i) (iii) gametes: FA , FN , FA , FA ; offspring genotype: FA FA , FA FN ; offspring phenotype: red, pink ; proportion of pure breeding carnation plants: 50%/1:1/0.5/half ; [4] [Total:13]
  • 8. Page 8 Mark Scheme Syllabus Paper Cambridge IGCSE – May/June 2016 0610 42 © Cambridge International Examinations 2016 Question Answer Marks Guidance Notes 4 (a) movement/diffusion, of water (molecules) ; from high water potential to low water potential/down water potential gradient ; across a partially permeable membrane ; [3] (b) (i) 1.0 (mol dm–3 sodium chloride solution) ; [1] (ii) (to remove) excess/surface/AW, water/AW, on potato sticks ; to measure the mass of the potato (stick) only ; [max 1] I inaccurate unqualified R dry mass (c) cells/potato sticks, have lost water (by osmosis) ; from high water potential to low water potential/down water potential gradient ; (cells/tissue/potato) were, plasmolysed/flaccid ; loss of turgor (pressure) ; not enough pressure of water pushing on cell walls ; [max 3] I water concentration I incipient (plasmolysis) A reduced turgidity / description (d) protein denatured (when cooked) ; cell membrane, damaged/destroyed (when cooked) ; no osmosis will occur ; [max 2] R killed proteins I killed/denatured, cells I damaged cell wall [Total: 10]
  • 9. Page 9 Mark Scheme Syllabus Paper Cambridge IGCSE – May/June 2016 0610 42 © Cambridge International Examinations 2016 Question Answer Marks Guidance Notes 5 (a) (i) testes ; [1] A adrenal gland / ovaries (ii) increases, muscle mass/strength/power ; improved recovery of muscle damage/promotes protein synthesis ; increase, competitive drive/aggression/AW ; increases bone, density/mass ; [max 1] (iii) maintains, uterine lining/endometrium ; inhibits, FSH / LH (release) ; [max 1] R uterus wall. I thickens lining (iv) oestrogen ; [1] (b) A is most polluted because: greater (overall) concentration of hormones ; all hormones at higher concentration except oestrogen ; comparative data quote with units ; (but) similar levels of oestrogen/(natural) progesterone (to B) ; B is most polluted because more oestrogen (than A) ; more types of hormones ; [max 3] (c) (i) Lake B oestrogen decreases (slightly) ; progesterone/testosterone, increases (slightly) ; Lake A or Lake B no/little, effect on oestrogen/progesterone/testosterone without ozone; Lake A chlorine with ozone caused, decrease in testosterone/synthetic progesterone/increase in natural progesterone ; [max 2] A mp 1, 2, 4 as data quotes R little effect on testosterone with ozone (ii) make the water safe, to return to the environment / for human use ; kill, pathogens/ (harmful) microorganisms/bacteria ; [1] I germs A disinfectant/sterilisation
  • 10. Page 10 Mark Scheme Syllabus Paper Cambridge IGCSE – May/June 2016 0610 42 © Cambridge International Examinations 2016 Question Answer Marks Guidance Notes (d) eutrophication; (aquatic) plants, die/cannot photosynthesise (due to blocked light) algae/ (aquatic) plants/organic material, decayed by bacteria ; (aerobic) respiration (by bacteria/decomposers) ; decreased pH / increased acidity (due to low oxygen) ; oxygen concentration decreases (due to bacteria /decomposers) ; (aquatic) animals/fish, migrate/die, due to lack of oxygen ; disrupted/altered, (aquatic) food chains/habitats ; more, flies/mosquitoes ; (more) waterborne (named) disease ; e.g. cholera/typhoid smelly/visual pollution ; toxicity / mutations caused, by heavy metals/sewage ; (female contraceptive) hormones cause feminisation of (aquatic) organisms ; (female contraceptive) hormones cause reduced sperm count (in aquatic animals) ; [max 6] I marine and other non-lake ecosystems I unqualified death/extinction throughout A growth of, floating aquatic plants / algae / algal bloom A nutrients in sewage as organic material A microorganisms/decomposers for bacteria I all oxygen used up A diseases/pathogen in humans or aquatic organisms A biomagnification/bioaccumulation / death of (aquatic) organisms by, heavy metals / toxins / poisons, in sewage A hormone may cause gender change in fish [Total : 16]
  • 11. Page 11 Mark Scheme Syllabus Paper Cambridge IGCSE – May/June 2016 0610 42 © Cambridge International Examinations 2016 Question Answer Marks Guidance Notes 6 (a) homeostasis/negative feedback ; [1] (b) (i) insulin ; [1] (ii) liver/muscle/pancreas ; [1] (iii) glycogen; [1] (c) Symptoms: fatigue/AW ; thirst/AW ; increased urination/glucose in urine/fruity breath/ketosis/flushed face; weight loss/nausea/vomiting/abdominal pain/hunger ; blurred vision/glaucoma ; behavioural changes/confusion/faint/unconscious/coma(tose)/dizzy/rapid breathing/deep breathing ; slow (wound) healing/poor circulation ; Treatment: insulin ; by injection/insulin pump ; regular blood glucose tests ; regular meals/controlled diet ; [max 5] max 3 from either section A weakness I death A meal plan / healthy eating / monitoring carbohydrates / avoid sugary foods, drinks and fruit juices / eat complex carbohydrates / intake of sugar if blood sugar concentration is too low [Total: 9]