Endo CE 1 Flashcards
DM screenings ADA recs
2
annual screening if BMI greater than or equal to 25 and one or more risk factors for DM
entire population 45 and older every 3 years if screening is normal
ADA diagnostic criteria pre diabetes -
A1c, FPG, OGTT
prediabetes:
A1c - 5.7-6.4
FPG - 100-125
OGTT - 140-199
ADA diagnostic criteria diabetes -
A1c, FPG, OGTT, RPG w/ s/sx
DM:
A1c - 6.5 or higher
FPG - 126 or higher
OGTT - >200
RPG with s/sx - >200
OGTT - we use in who
pregnant patients, and women we are working up for PCOS
ADA suggested A1c goals by age for DM type 2 - most adults
a1c <7
ADA suggested A1c goals by age for DM type 2 - for healthy older people
<7.5
ADA suggested A1c goals by age for DM type 2 - older adults with comorbids
<8-8.5
ADA suggested A1c goals by age for DM type 2 - pregnant patients
<6
ADA suggested A1c goal for most type 1 DM
<6.5
ADA BP target goal for DM patient
140/90
foot exam frequency
usually every 3 months; every visit if PVD or neurapathy present
dilated eye exam frequency - type 1 & 2
annually at onset for T2 DM; in type 1, 5 years after diagnosis
fundoscopic exam frequency
at diagnosis - do not substitute for dilated eye exam
thyroid palpation frequency
2
at diagnosis and annually
skin exam frequency
2
at diagnosis
annually