Diabetes Flashcards

1
Q

What value on a FPG permits the diagnosis of diabetes?

A

> /= 7.0

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2
Q

What value on a GTT permits diagnosis of diabetes?

A

> /= 11.1

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3
Q

What value on an A1C permits diagnosis of diabetes?

A

> /= 6.5

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4
Q

What test and range indicates prediabetes?

A

A1C 6-6.4

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5
Q

How does one confirm a diagnosis of diabetes?

A
  • Two tests above threshold
  • Repeat of one test above threshold
  • Symptomatic hyperglycemia
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6
Q

What test and range constitutes impaired fasting glucose?

A

FPG 6.1-6.9

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7
Q

What random PG permits diagnosis of diabetes?

A

> /= 11.1

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8
Q

Who and how often should we screen for diabetes?

A
  • > /= 40 and healthy = Q3yrs

- Risk factors every 6-12 months

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9
Q

What are the exercise guidelines for Diabetes Canada?

A

-150 minutes/week

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10
Q

What are ways to prevent diabetes?

A
  • Wt loss of 5% or more
  • Metformin
  • Whole grains
  • Low fat dairy
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11
Q

What A1C should diabetics target?

A

= 7

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12
Q

What BGL should patients target to achieve A1C of 7 or less?

A
  • Preprandial 4-7

- 2 hrs post prandial 5-10

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13
Q

At what A1C should pharm be initiated

A
  • > /= 1.5% above target
  • After three months if still above target but below 1.5%
  • Metformin initial choice
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14
Q

What therapy should be added for CV risk if A1C target not achieved?

A
  • SGLT-2

- GLP-1

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15
Q

When does Diabetes Canada recommend ASA?

A

-Only with CV risk

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16
Q

What vaccines are recommended for DM?

A
  • Flu
  • Pneumovax
  • Hep B
17
Q

When should a statin be added to diabetes therapy?

A

-CV disease
>/= 40
-Microvascular complications
-Per CV risk factors

18
Q

What lab work indicates CKD?

A
  • eGfr = 60
  • ACR >/= 2
  • on 2-3 samples over 3 months
  • Then need further investigation with urine ACR, creatinine, and eGfr
19
Q

Are falsely elevated A1C due to increased or decreased RBC turnover?

A
  • Decreased

- Also black people

20
Q

Are falsely low A1C due to high or low RBC turnover?

A

-Increased