Endo CE 1 Flashcards

1
Q

DM screenings ADA recs
2

A

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

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2
Q

ADA diagnostic criteria pre diabetes -
A1c, FPG, OGTT

A

prediabetes:
A1c - 5.7-6.4
FPG - 100-125
OGTT - 140-199

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3
Q

ADA diagnostic criteria diabetes -
A1c, FPG, OGTT, RPG w/ s/sx

A

DM:
A1c - 6.5 or higher
FPG - 126 or higher
OGTT - >200
RPG with s/sx - >200

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4
Q

OGTT - we use in who

A

pregnant patients, and women we are working up for PCOS

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5
Q

ADA suggested A1c goals by age for DM type 2 - most adults

A

a1c <7

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6
Q

ADA suggested A1c goals by age for DM type 2 - for healthy older people

A

<7.5

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7
Q

ADA suggested A1c goals by age for DM type 2 - older adults with comorbids

A

<8-8.5

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8
Q

ADA suggested A1c goals by age for DM type 2 - pregnant patients

A

<6

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9
Q

ADA suggested A1c goal for most type 1 DM

A

<6.5

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10
Q

ADA BP target goal for DM patient

A

140/90

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11
Q

foot exam frequency

A

usually every 3 months; every visit if PVD or neurapathy present

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12
Q

dilated eye exam frequency - type 1 & 2

A

annually at onset for T2 DM; in type 1, 5 years after diagnosis

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13
Q

fundoscopic exam frequency

A

at diagnosis - do not substitute for dilated eye exam

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14
Q

thyroid palpation frequency
2

A

at diagnosis and annually

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15
Q

skin exam frequency
2

A

at diagnosis
annually

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16
Q

skin exam - assessing for
2

A

acanthosis nigricans
fungal infections

17
Q

dental exams frequency

A

annually

18
Q

periodontal disease in DM

A

more severe in patients who have DM

19
Q

DM monitoring labs - lipids

A

fasting serum lipid profile - total, LDL, HLD, trigs

annually

20
Q

fasting serum lipid profile - patients ages 40 and over

A

consider moderate-intensity statin and lifestyle modifications

21
Q

fasting serum lipid profile - all patients of all ages with DM and ASCVD

A

high intensity statin therapy and lifestyle modifications

22
Q

all DM monitoring labs
5

A
  1. fasting serum lipid profile
  2. A1c
  3. spot urinary albumin-to-creatinine ratio
  4. serum creatinine and eGFR
  5. TSH
23
Q

how often to take A1c

A

every 3 months if not at goal; then twice annually

24
Q

spot urinary albumin-to-albumin-creatinine ratio frequency

A

at diagnosis, then annually

25
Q

when to check spot urinary albumin-to-creatinine ratio with type 1 dm

A

monitor 5 years after dx of type 1

26
Q

serum creatinine and eGFR frequency

A

at dx and annually

27
Q

TSH frequency

A

at dx and annually

28
Q

other comorbids to screen for in DM patients
7

A
  1. certain cancers - liver, pancreas, endometrium, colon, breast, bladder
  2. hearing impairment
  3. sleep apnea
  4. fatty liver disease
  5. periodontal disease
  6. cognitive impairment
  7. depression