DM

Question 1

Manage pateint with prediapetic ?

Answer 1

Diet
Physical activity at least 150 min it per weak
Follow up consoling
Met for in therapy for prevention
Treat modifiable risk factor
Monitor annually development of diabetes

Question 2

How can manage pateint with type two diabetes?

Answer 2

Non pharma logical =diadatey modification -right mixing of carbohydrate fat and protein -moniting and counting the carbohydrate
=weight reduction low carbohydrate and low fat
=excersice and smoking cessation and alcohol consumption

Pharma logical met Forman is first line
And if not maintain the target of HBA11C over 3-6 month add second oral agent

Insulin basal insulin is appropriate initial insulin starting dose .6|1 unit per kilogram
Human insulin is similar to analog insulin in controlling of diabetes

Question 3

Target for treatment DM ?

Answer 3

HBA1c less 7%
Lower level of less 6.5 is suggested in pateint long life expectancy and short term DM no significant cardiovascular diases
Higher level less 8 if long life diabetes and short life expectancy and have macro or micro vascular diase
And have significant cardiovascular diase

BP less 140/90

LDL less 100 mg /dl