Week 2 Flashcards
what is the diabetes screening tool called?
ADA screening tool
what are risk factors/when to screen for diabetes?
-BMI over 25
-everyone over 35
-every 3 years
-A1C over 5.7 (test every year)
Ethnicity: african american, latino, native american, asian american
Pre-diabetes:
A1C?
GT?
FG?
5.7-6.4%
140-199
100-125
Diabetes:
A1C?
GT?
FG?
over 6.5%
over 200
over 125
list the potential complications from diabetes
retinopathy, nephropathy, neuropathy, CVD, CVA (stroke), peripheral vascular disease (PVD)
what are the SMART goals?
Specific
Measurable
Achievable
Realistic
Time limited
what is the average A1C goal for diabetics?
less than 7%
what should a diabetic pts target BP goal be?
if initial BP is over 160/100, what is the guideline?
less than 130/80
start 2 BP meds: first line are ACE-Is, ARBs, thiazides, and CCBs
when should diabetic pts be put on statins to control dyslipidemia?
if they have ASCVD factors or are between the age 40-75
T/F pts with ASCVD should be on a high intensity statin
true
what are diabetic lipid goals?
Triglycerides < 150
HDL over 40 (men) and over 50 (women)
LDL under 70
how often should A1C levels be assessed?
lipid panel, LFT, UACR, BMP, and Vit B12, TSH, thyroid, foot exam, mental health?
quarterly
annually
define medical nutrition therapy and how its helpful in diabetes
evidence-based nutrition counseling by a registered dietician nutritionist
reduces A1C, improve blood pressure and cholesterol levels
what is the target dietary fiber intake?
14g per 1000 cal
In regards to alcohol, pts should try and drink less than? (male and female)
women: 1 drink or less per day
men: 2 drinks or less per day