Diabetes in Primary Care Flashcards
1
Q
when do you do an oral glucose tolerance test
A
if fasting glucose is 6.1-6.9
2
Q
how do you diagnose diabetes
A
clinical symptoms
random blood glucose
fasting blood glucose
3
Q
when should you consider referral to secondary care for new diabetics
A
definite or likely type 1 diabetes
patients with low or low normal BMI
all children
patients who are pregnant or planning pregnancy
pre-existing chronic renal impairment
seriously consider if patient under age of 40 at diagnosis
if there’s a specific clinical concern
4
Q
where are type 2 diabetics who are not on insulin followed up
A
GP
often nurse lead clinics
5
Q
what is the initial management of type 2 diabetes
A
register with SCI-DC retinopathy screening provide initial support and information to patients refer for education check baseline measures (BMI, BP, Urinalysis) identify and address other risk factors management of cardiovascular risk management of glycemic control foot screening and risk assessment
6
Q
initial treatment of diabetes
A
3 month trial of lifestyle changes weight loss healthy eating smoking cessation exercise alcohol consumption lipids and BP management
7
Q
common barriers to lifestyle change
A
shame stigma lack of knowledge depression lack of resources cost locus of control/self efficacy
