6: Screening

Question 1

Who should be screened for DMT2 (2)?

Answer 1

1. Adults with BMI >25.

2. Overweight children (weight/length >85%).

Question 2

Who should be screened for DMT1?

Answer 2

Screening is not recommended. Check only individuals with symptoms.

Question 3

What is the A1C goal in general?

Answer 3

7%

Question 4

How often do you check A1C in DM?

Answer 4

2x/year if controlled. 4x/year if not controlled or medication is changed or there is significant weight loss.

Question 5

What are initial options for medication in DM?

Answer 5

Type 1: Insulin

Type 2: Metformin, 2nd PO agent, and/or insulin

Question 6

General nutrition recommendations for DM (4)?

Answer 6

1. Concentrate on healthy options.
2. No advantage to nutritional/vitamin supplements.
3. Limit alcohol (1/day women, 2/day men).
4. Sodium <2300 mg/day.

Question 7

Exercise recommendations for DM?

Answer 7

Children: 60 minutes/day
Adults: 150 minutes/week

Question 8

Immunization recommendations for DM?

Answer 8

Flu and pneumococcal (age appropriate)

Question 9

BP goals for DM?

Answer 9

<140/90. If treated, include ACE/ARB.

Question 10

Lipid goals for DM?

Answer 10

<70 with CVD risk factors.

<100 without CVD risk factors.

Question 11

Antiplatelet therapy recommendations for DM?

Answer 11

75-162 mg ASA daily unless contraindicated.

Question 12

How often should eye and foot exams happen with DM?

Answer 12

Eye = 1x/year minimum
Foot = 2x/year minimum

Question 13

ADA recommends the first dental exam should occur when?

Answer 13

At emergence of teeth or age 1. Not widely practiced. More common to present around age 3.