Diabetes Primary Care Flashcards
What is the treatment pathway for type 2 diabetes?
5
Diagnosis --> Therapeutic Lifestyle Change --> Monotherapy --> Combination Therapy (NOT INSULIN) --> Combination Therapy (WITH INSULIN)
What is the clinical target for BMI?
25
What is the clinical target for HbA1c?
7% (75mmol/l)
What is the clinical target for BP?
140/80 or below
What is the clinical target for total cholesterol?
< 5
What is the clinical target for LDL cholesterol?
< 3
What is the clinical target for triglyceride?
< 2.3
Name 6 modifiable risk factors:
Weight Activity levels (exercise vs sedentary behavior) Alcohol reduction Smoking Blood pressure Glycaemic control
Side effects of gliclazide?
Weight gain
Hypoglycaemia
Which hypoglycaemic agent you would give to a patient with a BMI > 25?
Metformin (1g 3x daily)
Which hypoglycaemic agent you would give to a patient with a BMI < 25?
Gliclazide (160mg twice daily)
What are (3) combination therapies?
Metformin + gliclazide
Metformin + pioglitazone
Gliclazide + pioglitazone
(some people will need insulin to try to achieve HbA1c)
How many adults with type 2 diabetes have a raised bp?
70%
Name (4) types of anti-lipid therapy
Statins (NICE/SIGN guidelines advises to increase dose)
Fibrates
Ezetimibe
Cholestyramine (unpleasant to take)
What is done at the GP chronic disease review?
General health review Diabetic understanding Medication review Smoking and alcohol Glycaemic control Symptoms of complications? ICE What does this mean to me? Compliance/concordance or adherence