Targets Flashcards
Diabetes can be diagnosed with any of the following 4 criteria
1) FBG 7 +
2) A1C 6.5% +
3) 75g OGTT 11.1 +
4) random PG 11.1 +
What’s the definition of prediabetes
state which places individuals at high risk for developing DM
Prediabetes is dx by any of the following 3 criteria
1) IFB 6.1 - 6.9
2) A1C 6 - 6.4%
3) IGT (75g OGTT) 7.8 -1 1
What A1C should most people with type 1 and 2 aim for
≤ 7%
To reduce the risk of CKD and retinopathy (assuming they’re at low risk for hypoglycemia), what should A1C be
< 6.5%
For those trying to achieve <7% A1C, what should be the target for FBG
4-7
For those trying to achieve <7% A1C, what should be the target for 2hr postprandial
5-10
If A1C of < 7% can’t be achieved, what should FBG target be
4-5.5
If A1C of < 7% can’t be achieved, what should 2hr postprandial be
5-8
What is the A1C and FBG target for a functional dependent OA
< 8%, <8
What is the A1C and FBG target for a person who is frail and/or has dementia
< 8.5%, <9
What is the A1C and FBG target for an OA who is functionally independent
< 7%, <7 (same as younger adult)
What is the A1C target for someone at end of life
avoid
What should be the A1C target for most kids with type 2
≤ 7%
What should be the A1C and FBG target for most kids with type 1. What should be the FBG target for kids with hypoglycemia with type 1
≤ 7.5%, 4-8
6-10
If 50g GCT is done, a _____ is a “positive screen” and is indication to move on to 75g OGTT.
If 50g GCT is done, a _____ is a dx of GDM and does NOT require 75g OGTT.
> 7.8-11
11.1
If a 50g GCT is positive and 75g OGTT is done, what are the 3 diagnostic that you can use to dx for GDM
1) FBG ≥ 5.3 OR
2) 1hr PG ≥ 10.6
3) 2hr PG ≥ 9
What should a person’s blood sugar be in order to drive safely
Above 5. If he experiences a low he should wait at least 40 min after getting his sugars above 5 to start driving again
For non critical patients in hospital, what should FBG be
5-8
For non critical patients in hospital, what should random BG be
< 10
For critically ill patients in hospital, what should random BG be
6-10
For patients in hospital doing CABG, what should intraoperative sugars be. Using which method
Continuous IV insulin 5.5-11.1 instead of subq insulin injections to avoid postop infections