type 2 diabetes - management Flashcards
1
Q
How is an asymptomatic patient within diabetic range managed?
A
- repeat the SAME test
- in two weeks
- confirm diagnosis
2
Q
How is a diagnosis of impaired glucose regulation managed?
A
- educate and advice patient to attend if develop symptoms of diabetes
- Annual HB1AC monioring
- Improve hypertensive and weight control
3
Q
Name 9 risk factors addressed in diabetes review?
A
- Diet
- Exercise
- Smoking
- Alcohol
- Drugs
- Weight
- Family history
- BP
- Lipids
4
Q
How is ‘Diet’ addressed?
A
- specific dietary advice
2. dietician
5
Q
How is ‘Exercise’ addressed
A
- exercise on prescription
2. health trainers
6
Q
How is ‘Smoking’ addressed
A
- motivational interviewing
2. e - cigs / cessation advice
7
Q
How is ‘Alcohol’ addressed
A
- increased risk of hypos
2. calorie causes weight gain
8
Q
How is ‘Drugs’ addressed
A
drug review
- steroid induced DM
- atypical antipsychotics
9
Q
How is ‘Weight’ addressed
A
- advice
- weight management programmes
- Bariatic surgery
10
Q
How is ‘BP’ addressed
A
- Lifestyle advice
2 Medical management
11
Q
How is ‘Lipids’ addressed
A
- Statins
12
Q
Target BP in Diabetes Mellitus?
A
< 140 / 80
13
Q
Target BP in Diabetes Mellitus with vascular damage?
A
< 130 / 80