Prevention of Diabetes Uptake Flashcards

1
Q

Out of 10 people how many have diabetes?

A

1

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2
Q

How many people have prediabetes?

A

86 million

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3
Q

Where is diabetes in the rank of death rates?

A

7th

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4
Q

How many counties in Kentucky had rates of 11.2% or above?

A

93

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5
Q

Where does Kentucky rank in the nation in diabetes?

A

9th highest

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6
Q

What is the difference between type 1 and 2 diabetes?

A

Type 1 there is no insulin production

Type 2 the body doesn’t respond to insulin or not enough produced

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7
Q

Does type 1 or 2 diabetes do most people have?

A

Type 2

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8
Q

What are the three ways they use to diagnose diabetes?

A

Fasting plasma glucose (FPG)
Oral glucose tolerance test (OGTT)
Glycosylated hemoglobin (HbA1C, A1C)

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9
Q

Out of the three diabetes diagnosis tests is more convenient?

A

A1C test

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10
Q

Define FPG

A

Measures the amount of glucose in the blood after 8-10 hour fast

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11
Q

Define OGTT

A

After measuring the fasting plasma glucose, a standard amount of glucose is quickly consumed and plasma glucose levels are drawn 1 and 2 hours later

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12
Q

Define A1C test

A

Measures the percentage of hemoglobin that is bound to glucose. Can measure glucose concentrations over the past 2 to 3 months

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13
Q

If someone has IFG and IGT what are their chances of developing diabetes than a person with just one?

A

It doulbes their chances

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14
Q

How often should someone be tested for diabetes?

A

If >45 every 3 years if normal

If prediabetes yearly

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15
Q

If someone takes the Paper Risk Test at what score should someone get tested?

A

If their score is above 10.

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16
Q

What are 5 drugs that were tested to help prevent diabetes?

A

Metformin, acarbose, troglitazone, orlistat, resiglitazone

17
Q

When was metformin most effective?

A

In younger and obese patients

18
Q

How effective, in a percentage, are the medications in reducing the progression of type 2 diabetes?

A

25-60%

19
Q

What does ORIGIN stand for?

A

Outcome Reduction With Initial Glargine Intervention

20
Q

What did ORIGIN do?

A

It prevented progression of type 2 diabetes.

21
Q

What 3 studies shows sustained reduction of Type 2 Diabetes?

A

Da Qing Study (highest)
DPS
DPPOS

22
Q

According to data what is a highly cost-effective way of preventing diabetes?

A

Lifestyle Interventions

23
Q

What prevention program has shown to lower risk for diabetes by >50%?

A

National Diabetes Prevention Program

24
Q

What groups is the National Diabetes Prevention Program focused on?

A

High risk to very high risk populations

25
Q

According to the ADA 2014 Standards of Care, who should be counseled?

A

Overweight and obese patients

26
Q

In what populations may metformin be considered?

A

In patients with IFG, IGT, or A1C of 5.7%-6.4% and also 35, and women with prior GDM

27
Q

How do you prevent injury during exercise?

A

Warm up and cool down

28
Q

According to the ADA how much sodium should a person with diabetes consume?

A

<2300mg/day

29
Q

According to the ADA, where should carbohydrates come from for diabetics?

A

Vegetables, whole grains, fruits, legumes, and dairy products

30
Q

What benefits do Omega-3 supplements provide for the treatment of CV events?

A

None