Diabetic Check ups Flashcards
How often should diabetics be checked?
Annually
How often should diabetics have their feet checked?
Every three months
What six things should be checked in a diabetic check up?
Feet Eyes Urine HbA1c Cholesterol BP
What are you checking for in diabetic feet?
Loss of sensation Burning pain Hyperstimulation Non-painful trauma Ulcers
What are you checking for in diabetic urine?
Protein and eGFR
What is a normal eGFR?
60ml/min
What should you do is eGFR is low?
30-45 reduce metformin
<30 stop metofrmin
What is your goal for BP in diabetics?
140/80
What is your goal for cholesterol in diabetics?
Total <4
LDL <2.9
What HbA1c levels are you looking for in diabetics?
<48 ideal
<53 in real life
What are you looking for in diabetic eye exams?
Diabetic retinopathy
Cataracts
Glaucoma
Acute hyperglycemia
What complications can a diabetic check up cause?
Loss of drivers licence
What would lead to a loss of drivers license?
Retinopathy- Inability to see
Neuropathy- Inability to feel pedals
Hypo- More than 1 hypo in 12 months = lost licence