Treatment Targets and Goals Flashcards Preview

BC-ADM 2015 - Study Material > Treatment Targets and Goals > Flashcards

Flashcards in Treatment Targets and Goals Deck (19):
1

ADA Target HbA1c for Adults

Goal HbA1c less than 7%

2

AACE target HbA1c for Adults

Goal HbA1c ≤ 6.5% (without concurrent serious illness and at low hypoglycemia risk)
Goal HbA1c greater than 6.5% if serious illness/hypoglycemia risk

3

ADA target HbA1c for pregnant women with T1 or T2DM

Goal HbA1c less than 6% (if achievable without significant hypoglycemia; goal lower d/t alterations in red cell turnover)

4

ADA - Outpatient goal (adult) preprandial capillary plasma glucose range
ADA - Outpatient goal (adult) postprandial capillary plasma glucose range

- 80 - 130 mg/dL
- Less than 180 mg/dL

5

AACE - Outpatient goal (adult) fasting capillary plasma glucose range
ACCE - Outpatient goal (adult) 2 hour post prandial glucose goal range

- Less than 110 mg/dL
- Less than 140 mg/dL

6

ADA - Glucose targets for inpatient critically ill patients

Goal 140 - 180 mg/dL

7

ADA - Glucose targets for inpatient, non-critically ill patients

-Preprandial glucose less than 140 mg/dL
-Random blood glucose less than 180 mg/dL

8

ADA target HbA1c for pediatric patients

Goal HbA1c less than 7.5% for all pediatric age groups (new recommendation for 2015)

9

ADA - Glycemic targets in pregnancy for T1DM and T2DM

- Premeal, HS ,and overnight goal 60 - 99 mg/dL
- Peak postprandial goal 100 - 129 mg/dL
- HbA1c less than 6%

10

ADA - Glycemic targets for GDM

Preprandial goal ≤ 95 mg/dL and either:
- One hour post meal ≤ 140 mg/dL or
- Two hour post meal ≤ 120
(ADA and AACE are the same)

11

ADA - Target HbA1c in T1DM/T2DM prior to conception

HbA1c less than 7% (to reduce the risk of congenital anomalies)

12

AACE - Inpatient non pregnant adult intensive care goal glucose range

140 - 180 mg/dL (as long as this can be achieved safely)

13

AACE - Inpatient non pregnant adult non-critically ill goal glucose range (medicine and surgery patients)

- Pre-meal glucose less than 140 mg/dL
- Random blood glucose less than 180 mg/dL

14

AACE - Glycemic targets for GDM

Preprandial goal ≤ 95 mg/dL and either:
- One hour post meal ≤ 140 mg/dL or
- Two hour post meal ≤ 120
(ADA and AACE are the same)

15

AACE - Glycemic targets in pregnancy for T1DM and T2DM

- Premeal, HS ,and overnight goal 60 - 99 mg/dL
- Peak postprandial goal 100 - 129 mg/dL
- HbA1c ≤ 6%
- Only if these can be safely achieved
(ADA and AACE are the same)

16

AACE - Target HbA1c in T1DM/T2DM prior to conception

Less than 6.5%

17

How often should A1C be measured?

- At least two times a year in patients meeting treatment goals
- Quarterly in patients whose therapy has changed or are not meeting glycemic goals

18

How often should A1C be measured?

- At least two times a year in patients meeting treatment goals
- Quarterly in patients whose therapy has changed or are not meeting glycemic goals

19

What are the recommendations for weight gain in diabetic women during pregnancy based on BMI?

Recommended weight gain in diabetic pregnant women is the same as non-DM patients.

PrePregnancy BMI ---- Recommended Weight Gain
- BMI less than 18.5 = 28 - 40 lbs
- BMI 18.5 - 24.5 = 25 - 35 lbs
- Overwt BMI 25 - 29.9 = 15 - 25 lbs
- Obese BMI > 30 = 11 - 20 lbs