General Diabetes (Diagnosis, Guidelines) Flashcards
parameters for the diagnosis of diabetes
A1c > 6.5
Fasting BG > 126 *
2 hour BG > 200 following 75g OGTT *
Random BG > 200 + symptoms
*requires two abnormal test results
parameters for the diagnosis of pre-diabetes
A1c 5.7-6.4
Fasting BG 100-125
2 hour BG 140-199 following 75g OGTT
parameters for the diagnosis of gestational diabetes
Option 1: 2 hour 75g OGTT
- Fasting BG >92
-1 hour BG >180
-2 hour BG>153
Option 2: 1 hour 50g OGTT >130-140, follow with 100g
-Fasting BG >95
-1 hour BG >180
-2 hour BG >155
-2 hour BG >140
ADA glycemic targets for most nonpregnant adults
Pre-prandial BG: 80-130
Post-prandial BG: <180
A1c <7%
ACEE glycemic targets for most nonpregnant adults
Pre-prandial BG: <110
Post-prandial BG: <140
A1c < 6.5%
glycemic targets for healthy older adults
A1c <7.5%
Fasting BG 90-130
Bedtime BG 90-150
glycemic targets for older adults with 3+ coexisting chronic illnesses, 2+ instrumental ADL impairments or moderate cognitive impairment
A1c < 8%
Fasting BG 90-150
Bedtime BG 100-180
glycemic targets for older adults in LTC or end stage chronic illness or moderate/severe cognitive impairment
A1c < 8.5%
Fasting BG 100-180
Bedtime BG 110-200
glycemic targets for adolescents and children
A1c < 7.5%
Fasting BG 90-130
Bedtime BG 90-150
glycemic targets for pregnant patients
A1c <6.5%
Fasting BG <95
Post-prandial BG 1 hr <140
Post-prandial BG 2 hr <120
define mild hypoglycemia and how to treat
BG <70
15 grams of glucose, wait 15 minutes, recheck BG, retreat if still low
define moderate hypoglycemia and how to treat
BG <54
30 grams of glucose, wait 15 minutes, recheck BG, retreat if still low
define severe hypoglycemia and how to treat
unresponsive/ unconscious
IV dextrose or glucagon IM/SubQ, medical assistance
what is normal A1c, prediabetes A1c, and diabetes A1c
normal is <5.6
prediabetes is 5.7-6.4
diabetes is >6.5
