Screening tests that go along with a diagnosis of type I diabetes
Celiac screening, hyperthyroidism screen, Addison’s screen and lipid panels
Preventive vaccinations for kids with type I diabetes
Flu shot and pneumococcal vaccine
Risk for CAD at borderline diabetic Hgb A1c (< 7.0)
Are men or women at higher risk for CAD complications from diabetes?
Most common cause of mortality in diabetics
Prevention of CVD in diabetics
1) HTN control (< 100 3) Anti-platelet (Aspirin for males > 50 and females > 60) 4) Smoking cessation 5) Hyperglycemic control (use metformin 1st) 6) Exercise & Diet
How are diabetes and depression related?
If you have one you have 2x the risk of getting the other. Note that bipolar patients have 3x the risk of developing diabetes.
Best treatment for type II diabetes to date?
Gastric bypass surgery has shown to have better results with weight loss, reduction of Hgb A1c and lipid profiles.
When do you see an increase in albuminuria in patients with diabetes?
Initially you see microalbuminuria that indicates an increase in GFR. 15+ years later you see increased albuminuria that marks the decline in GFR.
Type 1 diabetes association with diabetic retinopathy
Diabetic nephropathy is also present 90% of the time. Association is not as strong in type II diabetics.
What is albuminuria a marker of in diabetic patients
Generalized microvascular endothelial dysfunction that contributes to mortality
Drug necessary for reduction of proteinuria in diabetic patients
ACE-I selectively relaxes the efferent arteriole and reduces glomerular filtration pressure