DM Flashcards
4 ways to Dx DM?
- Fasting glucose > 126
- OGTT (2 hour with 75 g oral glucose tolerance) > 200
- Sx + random glucose > 200
- A1c > 6.5
4 ways to Dx Pre-DM
- Fasting glucose 100-125
- OGTT (2 hour with 75 g): 140-199
- A1c 5.7-6.4
Recall: cut-off for Dx using a1c
- DM: 6.5
- IFG/pre-DM: 5.7-6.4
Recall: cut-off for Dx using OGTT
- DM: > 200
- IFG/pre-DM: 140-199
Recall: cut-off for Dx using fasting glucose
- DM: > 126
- IFG/pre-DM: 100-125
If no risk factors, when start screening for DM?
Both genders: > 45 yo
What are risk factors of DM?
- physical inactivity
- Fam hx
- Race (non-white)
- Women who has baby > 9lb or Hx of GDM
- HTN or on anti-HTN therapy
- HDL 250
- PCOS
- a1c > 5.7 in previous testing
- acanthosis nigricans
- CVD
What start screening a$ patient for DM?
BMI > 25 + one risk factor
If screening test is normal, repeat in ___ years?
3
What is following up schedule for well-controlled patient?
Biannually - 2 times a year
schedule for poorly-controlled patient with changing target?
Quarterly
What’s the DM sx in the elderly?
Confusion and Dehydration
T of F: renal threshold for glucose increases with advanced age
T
T of F: with elderly, decreased thirst will suppress presentation of polydipsia
T
T of F; elderly has diminished glucagon, epinephrine, growth hormone response to low glucose
T
