DM 1 Flashcards
1
Q
how to monitor glycemic control
A
- self monitoring of blood glucose (glucometer or
cgm) - hb1ac: at diagnosis and every 3-6 mos
2
Q
glycemic targets
A
- hba1c <7% / 6.5
- preprandial cbg 80-130 mg/dl
- postprandial cbg <180
3
Q
features of individualizing glycemic targets
A
- risks
- disease duration
- life expectancy
- important comorbidities
- established vascular complications
- patient preference
- resource ad support system
4
Q
what is medical nutrition therapy
A
read
5
Q
mnt for t1dm
A
carb counting
1 unit of insulin = 10 g of carbs
6
Q
mnt for t2dm
A
idaho plate method, focus on weight loss, low salt and low fat
7
Q
physical activity
A
- 150 min/week over at least 3 days/week
- reduced sedentary behavior throughout the day
8
Q
two components of physiologic insulin secretion
A
- prandial insulin secretion
- basal insulin secretion
9
Q
rapid acting insulin
A
- aspart, lispro, glulisine
- onset 5-15 mins
- peaks in 30-60 hrs
- sig 5 mins pre meal
10
Q
short acting insulin
A
- regular insulin
- only one approved for iv route
- used in hospitals for severe hyperglycemia (dka)
11
Q
intermediate acting insulin
A
- isophane insulin suspension or neutral protamine hagedorn (nph)
- for basal coverage
- sig. bid
12
Q
long acting insulin
A
- glargine: od or bid
- insulin determir (levemir): od to bid
- insulin degludec (tresiba)
