Endocrine

Question 1

T2DM - Clinical management goals

Answer 1

HBA1c - <7%

Lipids
- total chol < 4.0mmol/L
- HDL > 1.0mmol/L
- LDL <2.0mmol/L
- non-HDL C < 2.5mmol/L
- Triglycerides <2.0mmol/L

Blood Pressure
- <140/90
- <130/80 - if albuminuria/proteinuria

Urine ACR
- women <3.5mg/mmol
- men <2.5mg/mmol

Vaccinations
- influenza
- pneumococcus
- dTpa
Consider - Hep B and Herpes Zoster

Question 2

T2DM - Lifestyle goals

Answer 2

Diet - according to Australian Dietary Guidelines - dietician where weight management, High CVD risk or issues with maintaining target glucose levels

BMI
- 5-20% weight loss of overweight or obese
- BMI >35kg/m2 and commodities or BMI >40kg/m2 greater weight loss needed

Physical activity