Diabetes Mellitus Flashcards
1
Q
Risk factors for DM
A
Family history Obesity Physical inactivity Race/ethnicity Previously identified with IFG IGT or Hba1c 5.7-6.4% History of GDM or delivery of baby > 4kg HDL <35 TG> 250 PCOS or acanthosis nigricans Hx of cardiovascular disease
2
Q
Most potent incretin
A
GLP 1
3
Q
Guidelines for ongoing, comprehensive medical care for patients with DM
A
Annual patient education on DM management
Annual medical nutrition therapy and education
Annual lipid profile and serum crea
Annual screening for nephropathy
Eye examination annual or biannual
Foot examination 1-2x/year by physician, daily by patient
Quarterly BP measurement
Hba1c testing 2-4x/ year
Influenza/pneumococcal/hep B vaccination
Consider antiplatelet therapy
Individualized glycemic control
Self monitoring of blood glucose
4
Q
Conditions that interfere with Hba1c result
A
Hemoglobinopathies Anemias reticulocytosis Transfusions Uremia
5
Q
Risk factors for foot ulcers or amputation
A
Male Diabetes >10years Peripheral neuropathy Abnormal structure of the foot PAD Smoking History of previous ulcer or amputation Visual impairment Poor glycemic control
