Clinical Diabetes Flashcards
What is the cause of intermittent blurry vision in DM?
Hyperglycemia –> lens swelling
The majority of people with DM have what symptoms?
NONE- that’s why so many are undiagnosed
What are the constellation of symptoms known as metabolic syndrome that serves as high predictive value for both DM and CVD?
High fasting glucose or pre-diabetes with hyperlipidemia and hypertension
What is the highest risk form of obesity?
Abdominal obesity
What is the preferred method for diagnosing diabetes?
HA1C
% RBCs glycosylated
Fast blood sugar above what level constitutes diabetes?
FBS >126
A1C above what level is diagnostic of diabetes?
6.5%
OGTT with BS above what level is diagnostic of diabetes?
> 200
Random blood sugar greater that what level is diagnostic of diabetes?
> 200 - with symptoms
What A1C constitutes pre-diabetes?
5.7-6.4%
How effective are lifestyle modifications at reducing pre-diabetes?
58%
How affected is metformin at reducing pre-diabetes?
31%
What is the target A1C level to maintain when they are diagnosed?
<7
What are the acute effects of hyperglycemia?
Dehydration
Immunosuppression
What is more dangerous, hyperglycemia or hypoglycemia?
Hypoglycemia can kill you
Hyperglycemia is destructive over the long run, but it’s more of a chronic problem
