Long Term Complications Of Diabetes Flashcards
What are the symptoms of diabetic disease nephropathy
Persistent proteinuria, decreased eGfr, and increased BP
Normal UACR ratio and eGFr
UACR is less than 30 mg/g. eGFR is greater than 60
When do you check microalbuminurea
Check annually in patients with T1DM for five years and immediately for patients with type 2 diabetes
If UACR is greater 300 and eGfr is less than 60, how do you screen
Check twice annually
If UACR is greater than 300 mg/g, what hypertensive drugs do you recommend
ACE or ARBs
How do you control glucose in a T2DM with kidney disease if UACR is greater than 300
SGLT2-I
What is the alternative to treat T2DM in kidney disease with diabetes
GLP-1RA
ADA BP goal for T2DM with 10 years ASCVD greater than 15 percent
Less than 130/80
ADA BP goal for T2DM + 10 year ASCVD < 15%
Less than 140/90
ADA goal for DM + pregnancy
110-135/85
What is the first line treatment for ASCVD to reduce cholesterol
High dose statin with lifestyle modification
Give examples of an high dose statin for reducing cholesterol in patients with diabetes
Atorvastatin 40-80 mg/day or rosuvastatin 20-40 mg/day
First line secondary treatment to prevent CVD in diabetic patients
Aspirin(75 to 162 mg) per day
Second line secondary treatment to prevent CVD in diabetic patients
Clopidogrel if patient as aspirin allergies
What is the condition that must be met before a diabetic can take aspirin to prevent CVD
Must be 50 or above. Have one major risk factor( either smoking, HTN, FMH of ASCVD, or CKD)
