Diabetic Check ups Flashcards

1
Q

How often should diabetics be checked?

A

Annually

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2
Q

How often should diabetics have their feet checked?

A

Every three months

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3
Q

What six things should be checked in a diabetic check up?

A
Feet
Eyes
Urine
HbA1c
Cholesterol
BP
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4
Q

What are you checking for in diabetic feet?

A
Loss of sensation
Burning pain
Hyperstimulation
Non-painful trauma
Ulcers
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5
Q

What are you checking for in diabetic urine?

A

Protein and eGFR

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6
Q

What is a normal eGFR?

A

60ml/min

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7
Q

What should you do is eGFR is low?

A

30-45 reduce metformin

<30 stop metofrmin

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8
Q

What is your goal for BP in diabetics?

A

140/80

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9
Q

What is your goal for cholesterol in diabetics?

A

Total <4

LDL <2.9

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10
Q

What HbA1c levels are you looking for in diabetics?

A

<48 ideal

<53 in real life

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11
Q

What are you looking for in diabetic eye exams?

A

Diabetic retinopathy
Cataracts
Glaucoma
Acute hyperglycemia

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12
Q

What complications can a diabetic check up cause?

A

Loss of drivers licence

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13
Q

What would lead to a loss of drivers license?

A

Retinopathy- Inability to see
Neuropathy- Inability to feel pedals
Hypo- More than 1 hypo in 12 months = lost licence

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