Lifestyle Management of Diabetes Flashcards
(28 cards)
What is MNT?
medical nutrition therapy
True or false: beta carotene supplementation is recommended in individuals with type 2 diabetes to prevent retinopathy.
FALSE; more harm than benefit, do not recommend
What is the recommended daily alcohol limit for men?
2 drinks/day
What is the recommended daily alcohol limit for women?
1 drink/day
What is the recommended daily sodium intake?
<2300 mg
Is sliding scale insulin dosing regimen recommended for T1DM?
NO. Because it is reactionary and not proactive to prevent hyperglycemia, you are always playing catch-up when you use sliding scale
When do we treat a pediatric T1DM patient for cholesterol management?
when LDL is consistenly >130
When do we screen a pediatric T1DM patient for microvascular complications?
once child is ≥ 10 years or has had diabetes for 5 years
What is teplizumab-mzww?
-MoAb treatment to delay onset of stage 3 T1DM in ages ≥ 8 years with stage 2 T1DM
What is MOA of teplizumab?
-binds to CD3 antigens on surface of T cells to reactive autoreactive T cells that target pancreatic beta cells
How is teplizumab administered?
IV QD x 14 days
What are some ADR of teplizumab?
-skin rash
-leukopenia
-HA
-N/D
-neutropenia
What are the warnings and precautions for teplizumab?
-cytokine release syndrome
-serious infections
-vaccines
-hypersensitivity rxns
-lymphopenia
When to screen a child for T2DM?
- age ≥ 10 years
AND - BMI ≥85th percentile
When should adults ≥ 65 years be screened for cognitive impairment or dementia?
-initial visit and ANNUALLY
What is the target time in range for older patients with diabetes and comorbidities?
TIR=50%
Which diabetes medications must be discontinued when sick?
-metformin
-SGLT2i
-GLP1-RA
How often should BG be tested on a sick day?
Q2H
In patients with T1DM and are sick, how often should urine/blood ketones be tested?
Q4H
Which screening test is done for patient with CF to check if they have CFRD?
OGTT
What do we treat CFRD?
insulin
When should a pregnancy patient be tested for gestational diabetes?
-if they have risk factors, test before 15 weeks of gestation
-at 24-28 weeks (in people who did not have diabetes before)
When should pregnant people with GDM be screened for pre-diabetes or diabetes post-partum?
4-12 weeks
How often should individuals with a history of GDM be screened for diabetes?
every 1-3 years
