KC's diabetes overview; 3.18/19 Flashcards Preview

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Flashcards in KC's diabetes overview; 3.18/19 Deck (12):
1

What antibodies are often present with DMI?

Glutamic Acid Decarboxylase (GAD)-65 antibodies

2

How is gestational DM diagnosed?

Glucose tolerance test (1hr challenge. If failed, then 3 hour test checking qhr...2 high reads = gestational DM)

3

There are lots of drugs that can cause hyperglycemia...here are some of them:

Glucocorticoids
Oral contraceptives
Cyclosporine, tracrolimus, sirolimus
Niacin
HIV protease inhibitors
Thiazide diuretics
Statins
GnRH agonists

4

Who should be screened for diabetes?

Adults with BMI > 25 and one or more risk factors

5

What are some risk factors associated with diabetes?

Physical inactivity
Relative with DM
HTN, HDL, elevated TGs
Others

6

What is the usual goal HA1c with diabetes (measured every 6 months)?

Less than 7-8%

7

When would a goal HA1c be less than the normal 7-8%?

Short disease duration
Long life expectancy
No significant CVD

8

When would it be ok for the HA1c goal to be higher than the normal 7-8%?

Severe hypoglycemia
Limited life expectancy
Advanced complications
Extensive comorbid conditions
Those who just can't meet other targets

9

Other than HA1c, what else should be checked/avoided in diabetes patients?

LDL (annually)
BP
Proteinuria screen (annually)
Flu shot (annually)
Pneumococcal vaccine (UTD)
No tobacco
TGs (annually)

10

What is the goal LDL level in a diabetic?

<100mg/dL (high dose statin if otherwise)

11

What is the goal BP in a diabetic?

<140/80mmHg

12

What is the goal for fasting TG level? Non-fasting?

<180mg/dL