Screening

Question 1

When should you screen for nephropathy in adults and kids type 1

Answer 1

adults: at 5 years post dx and annually after
kids: > 12 yrs with >5 yrs duration of diabetes, test annually after

Question 2

When should you screen for nephropathy in adults with type 2

Answer 2

at dx and annually after

Question 3

When should you screen for retinopathy in kids with type 1

Answer 3

≥ 15 years starting at 5 years post dx and annually after

Question 4

When should you screen for retinopathy in adults with type 2

Answer 4

at dx and 1-2 years after is minimal damage

Question 5

When should you screen for neuropathy in kids with type 1

Answer 5

5 yrs post puberty and annually after

Question 6

When should you screen for neuropathy in adults with type 2

Answer 6

at dx and annually after

Question 7

When should you screen for CVD for adults

Answer 7

if > 40 years old or

if > 30 years old + >15 years of diabetes, do ECG

Question 8

What should be the initial test for CVD be

Answer 8

stress test ECG

Question 9

When should you screen for CVD in kids with type 1 and what should be tested

Answer 9

If <12 years screen for dyslipidemia if they have risk factors, start screening at 12 years old and q5yr after.

All kids should be tested for HTN

Question 10

What 3 tests are unique for type 1 kids

Answer 10

1) At dx and q2years after –> test for anti-thyroid antibodies using TSH and thyroid peroxidase. If kid has goiter do test q6-12 months
2) celiac disease if symptoms are present using tissue transglutaminase and IGA levels
3) adrenal insufficiency as clinically indicated, using 8am serum cortisol and Na+ and K+

Question 11

What are the 3 screening tests for type 2 kids that are the same with adults

Answer 11

nephropathy, retinopathy, neuropathy

Question 12

What are the CVD screening tests for type 2 kids

Answer 12

at dx test for fasting lipids, annually after and

at dx test for HTN, 2x/year

Question 13

What other tests should be considered for type 2 kids and when

Answer 13

NAFLD, OSA, PCOD, depression, eating disorders starting at dx and yearly after

Question 14

Diabetes and Pregnancy:

When should you screen for diabetes for ALL women during pregnancy and using which test

Answer 14

at 6 months (24-28 weeks) using 50g GCT

Question 15

Diabetes and Pregnancy:

When should women who have had GDM be screened for type 2

Answer 15

at 1-6 months for postpartum using 75 OGTT

Question 16

Diabetes and Pregnancy:

For women with preexisting diabetes, when should you screen for retinopathy

Answer 16

at first trimester and first year postpartum

Question 17

Diabetes and Pregnancy:

For women with preexisting type 1, what special screen should you do and when

Answer 17

thyroiditis using TSH, at 2-4 months postpartum

Question 18

Screening a regular adult should happen when

Answer 18

at 40+ years or when at high risk, q3years
OR
when at very high risk, screen q6-12 months

Question 19

Diabetes and Pregnancy:

For women at high risk of type 2 diabetes when should you screen

Answer 19

First trimester (first 3 months)

Question 20

When should men be screened for ED

Answer 20

regularly

Question 21

In-Hospital Screening

____ should be checked if not done in 3 months when admitted to the hospital

Answer 21

A1C

Question 22

In-Hospital Screening

Repeat screening on people with ___ A1C should be done ____ post discharge

Answer 22

6-6.4%

6-8 post discharge

Question 23

In-Hospital Screening

When should CBG be initiated

Answer 23

When A1C ≥ 6.5%

Question 24

In-Hospital Screening

People NPO or receiving continuous enteral feeds should be monitored q ____ hrs

Answer 24

4-6hrs

Question 25

In-Hospital Screening In people who are critically ill or have continuous IV insulin infusion q___ hrs

Answer 25

1-2hrs