Chronic Complications- Macrovascular Flashcards Preview

PHM 602- Diabetes > Chronic Complications- Macrovascular > Flashcards

Flashcards in Chronic Complications- Macrovascular Deck (23)
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1
Q

ADA blood pressure goals

A

DM and HTN with low CV risk- <140/90
DM and HTN with high CV risk- <130/80
Pregnancy: 120-160/80-105

2
Q

ADA treatment for blood pressure

A

They have no preference (ACEi/ARB, diuretics, CCB) unless the patient has albuminuria- then use an ACEi/ARB

3
Q

AACE blood pressure goals

A

<130/80

4
Q

AACE treatment for blood pressure

A

ACEi/ARB

5
Q

ACC/AHA blood pressure goals

A

<130/80

6
Q

ACC/AHA treatment for blood pressure

A

No preference (ACEi/ARB, CCB, thiazide) unless you have CKD, HF, or are African American

7
Q

ACC/AHA BP treatment in patients with CKD

A

ACEi

8
Q

ACC/AHA BP treatment in patients with HF

A

No preference as long as it’s not a non-DHP CCB

9
Q

ACC/AHA BP treatment in African American patients

A

CCB, thiazide diuretics

10
Q

ADA guidelines for cholesterol management if <40 years old

A

Depends on ASCVD risk:

If ASCVD risk is <20%: no statin
If ASCVD risk >20%: high-intensity statin

11
Q

ADA guidelines for cholesterol management >40 years old

A

Depends on ASCVD risk:

If ASCVD risk <20%: moderate-intensity statin
If ASCVD risk >20%: high-intensity statin

12
Q

AACE guidelines for cholesterol management

A

Don’t state what intensity to use, you have to use clinical judgment

13
Q

AACE “high risk” LDL goal

A

<100

14
Q

AACE “very high risk” LDL goal

A

<70

15
Q

AACE “extreme” LDL goal

A

<55

16
Q

ACC/AHA guidelines for cholesterol management

A

All diabetes patients get a moderate-intensity statin

17
Q

ADA guidelines on ASA therapy

A

Can be considered for primary prevention if the patient has a high CVD risk (>50 years old, smoker, HTN, LDL >100, CKD)

Use in secondary prevention- 81mg

18
Q

AACE guidelines on ASA therapy

A

Use in primary prevention if ASCVD risk >10%

Use in secondary prevention- 81mg

19
Q

ADA recommendations for obesity

A

Goal is >5% weight loss

Diet, exercise, behavioral therapy

BMI ≥27: consider weight loss medications/therapy

BMI ≥35: consider bariatric surgery

20
Q

AACE recommendations for obesity

A

Essentially the same as ADA recommendations

Diet, exercise, behavioral therapy

BMI ≥27: consider weight loss medications/therapy

BMI ≥35: consider bariatric surgery

21
Q

ADA and AACE guidelines for immunizations

A

Flu shot: everyone should get it annually

Pneumococcus: PPSV23 and/or PCV13
19-64 years old: PPSV23
>65 years old: PCV13, then PPSV23 at least one year apart

Hep B: all adults should get it

22
Q

ADA guidelines on smoking

A

Avoid use of cigarettes, e-cigarettes, and other tobacco products

Counsel on smoking cessation

23
Q

AACE guidelines on smoking

A

No specific recommendations, but encourage counseling on smoking cessation