Diabetes Flashcards
1
Q
ADA Diet
A
- 45-65 % carbohydrates
- 23-35% fat
- 10-35% protein
- Weight reduction through caloric restriction
- < 300mg cholesterol
- High soluble fiber foods
- Artificial sweeteners
- Limit alcohol & sodium intake
2
Q
USPSTF DM screening guidelines
A
- Asymptomatic with BP >135/80- treated or untreated
- In future:
Age >45, overweight, genetic or fan hx, polycystic, African , Hispanic
3
Q
ADA screening
A
- BMI > 25
- Age 45, every 3 yrs
- Risks: inactivity, 9 lb baby, fam hx, racial, HTN, low HDL, polycystic, CVD
4
Q
ADA diagnosis
A
- A1c >6.5%
- FPG >126 (8 hr)
- 2-h PG >200
- Symptoms of hyperglycemia random PG >200
5
Q
Patient education
A
- Lifelong disorder
- Self monitoring glucose
- Actions of insulin
- Blood glucose targets
- Diet & lifestyle modifications
- Foot & dental care
- Quit smoking
6
Q
Medical surveillance
A
- Yearly foot, dental, eye exams
- Flu, Hep B & pneumococcal vaccines
- Yearly albumin/ creatinine
- BP <140/90
