Type 2 DM throughout the lifespan Flashcards
Type 2 DM is a _____ disease
Progressive
what is the fastest growing age segment of the population dx’d with DM2?
Adults >65 years
True or false: Men are more likely to get DM2 then women
False; men and women are afflicted equally
What are the most important risk factors for DM2 (both modifiable and non modifiable)
Heredity (non modifiable)
Obesity (modifiable)
Physical inactivity (modifiable)
True or false: DM2 does not have a strong genetic component
False; DM2 does have a strong genetic component
What is the most powerful predictor for the development of DM2?
Obesity
True or false: In diagnosing DM2, findings should be confirmed by repeat testing on a different day
True
What is another lab option for testing for diabetes in those with blood disorders/anemia
Fructosamine; this test does not involve the Hgb molecule
True or false: The oral glucose tolerance test is not recommended for routine clinical use
True
How long should a patient be without caloric intake to be considered fasting?
At least 8 hours
In a person with DM2, when with CGM be useful?
For all persons with DM who have hypoglycemia unawareness and/or frequent hypoglycemia
What medication should be started at the time of DM2 dx unless there are contraindications?
Metformin
If A1c target is not obtained after ~3 months on metformin, and the pt does not have ASCVD or CKD, what should be the next line of treatment?
Any of the following:
- sulfonylurea
- TZD
- DPP4 inhibitor
- SGLT2 inhibitor
- GLP-1 receptor antagonist
- basal insulin
Pts with DM and established ASCVD, CKD, or HF may benefit from which medications?
GLP-1 receptro agonist OR SGLT inhibitor
What is a prominent characteristic of DM2 in older adults?
Post prandial hyperglycemia
