TBL Dec 6 Chronic Diseases Flashcards
(23 cards)
Diagnose diabetes: A1c
> 6.5
Diagnose diabetes: fasting plasma glucose
> 126
Diagnose diabetes: 75g glucose load
> 200 after two hours
Diagnose diabetes: w/ hyperglycemic symptoms of polyuria/polydipsia – ?
random plasma glucose > 200
What give T1 or T2DM for kidney disease prevention?
ACEi or ARB
- indicated if elevated urine albumin or hypertension
NEVER use ACEi/ARB in ??
Pregnancy!!!
How treat DM retinopathy?
Laser photocoagulation
anti-VEGF
What do on annual DM foot exam?
Check pulses
Test sensation
Look for ulcers
need for amputation?!
When use statin for ASCVD?
Age 40-75 w/ diabetes
LDL > 190
10 year ASCVD risk > 7.5%
How calculate LDL cholesterol?
TC - HDL - (TG/5)
What is BP goal for pt’s > 60?
under 150/90
What is BP goal for pt’s 30-59?
under 140/90
1st line BP control African-American?
CCB
Thiazide diuretic
1st line BP control Caucasian?
ACEi/ARB
CCB
Thiazide
What add to CKD pt’s who are HTN to improve kidney function?
ACEi/ARB
- regardless of race
What is NEVER a 1st line for HTN for any age/race?
Never use beta-blocker for 1st line HTN control
When screen pregger for GDM?
1st prenatal visit
When screen all women for GDM w/ glucose tolerance test?
24-26 weeks
If pregger had GDM, what do postpartum?
Screen for persistent DM at 6-12 wks
What do w/ women w/ hx GDM lifelong?
Screen DM every 3 years
Cutoff for Asian-Americans and Caucasians for pre-diabetes based on?
BMI
AA > 23
Cauc > 25
What is A1c target for children and adolescents with diabetes?
< 7.5%
Exercise recommendation kids and adults with DM or pre-diabetes?
150 min/week adult
60 min/day kid
