Prediabetes

Question 1

ranges for essentials of diagnosis of prediabetes

Answer 1

fasting glucose: 100-125 mg/dl
Hgb-A1c: 5.7-6.4% (borderline)
2 hr post prandial glucose: 140-199 mg/dl

Question 2

what is “pancreatic burnout”

Answer 2

decreased insulin production late in the course of type II diabetes.

Question 3

what are some risk factors for prediabetes

Answer 3

obesity, family history, diet, sedentary, race, women who have large babies (9lbs >) and a previous diagnosis of gestational diabetes.

Question 4

what are the sx of prediabetes?

Answer 4

they are usually asymptomatic

(postulated that you may have early sensory nerve toxicity)

Question 5

DDX of prediabetes

Answer 5

non fasting glucose
Cushing syndrome
well controlled type 1 or type 2
hyperthyroidism

Question 6

what are some medications that could cause prediabetes

Answer 6

corticosteroids, antibiotics, beta blockers, psychiatric medications, diuretics (thiazide type e.g. HCTZ or Chlorthalidone)

Question 7

TX for prediabetes

Answer 7

weight loss
Metformin
exercise