Term
| adults and children > __yo with T1DM should have an eye exam with ___ of their dx. |
|
Definition
| adults and children >/=10yo w T1DM should have an eye exam wn 5yrs of dx |
|
|
Term
| how long after dx should T2DM have their eye exam? |
|
Definition
|
|
Term
| how often should diabetic get their eyes checked after their initial eval? |
|
Definition
| every year, of every 2-3yrs for those with an initial normal eye exam |
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Term
| of the diabetic population, who is at a greater risk for developing retinopathy? |
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Definition
| prego... should have comprehensive eye exam if considering pregnancy |
|
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Term
| best way to reduce the risk of retinopathy: |
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Definition
|
|
Term
| 4 main control measures to reduce the risk of retinopathy: |
|
Definition
1. glycemic control
2. BP control
3. control Lipid
4. routine eye exams |
|
|
Term
| single most common cause of end stage renal dz: |
|
Definition
|
|
Term
| 4 RF for the development of end stage renal dz: |
|
Definition
1. hyperglycemia
2. HTN
3. proteinuria
4. Smoking |
|
|
Term
| recommended protein intake for prevention of nephropathy: |
|
Definition
|
|
Term
| normal albumin level in urine: |
|
Definition
|
|
Term
|
Definition
| 30-299mg/L spot collection |
|
|
Term
|
Definition
|
|
Term
| guidlines for screening for albuminuria: |
|
Definition
same as screening for retinopathy;
1. T1DM >10yo, 5yrs after dx creen anually
2. T2DM screen asap after dx |
|
|
Term
| any confirmed persistant albuminuria should be tx w: |
|
Definition
|
|
Term
| 6 factors that cause transient elevations of urine albumin: |
|
Definition
1. hyperglycemia
2. HTN
3. exercise
4. UTI
5. HF
6. Acute febrile illness |
|
|
Term
| if a UA is negative for protein it should be screened for: |
|
Definition
|
|
Term
| ACEs / ARBs in pregnancy? |
|
Definition
|
|
Term
| 3 adverse effects of ACE/ARB |
|
Definition
1. ACEs cause nonproductive cough
2. ACEs may cause angioedema
3. ARB& ACEs cause or contribute to HYPERKALEMIA |
|
|
Term
| 3 interventions that will lower the risk of neuropathy: |
|
Definition
1. glycemic control
2. smoking cesation
3. routine foot examination |
|
|
Term
| diagnostic criteria for DPN: |
|
Definition
| 2/3 loss/decrease of sensation w pin prick, vibration, temperature |
|
|
Term
| LDL,HDL,TG goals for people w DM |
|
Definition
LDL<100 (<70)
HDL >40men,>50females
TG<150 |
|
|
Term
| Criteria for aspirin therapy for pt w DM: |
|
Definition
| 1. men>50/women>60 with one adtnl RF (FHx,HTN,smoker,Dyslipiemia,microalbuminuria) |
|
|
Term
| dosing for primary prevention w aspirin therapy: |
|
Definition
|
|
Term
| high risk pts that cannot take ASA can use ______ for prevention |
|
Definition
|
|
Term
| what BP warrants Tx in DM |
|
Definition
| >140/90 drug therapy and life style changes |
|
|
Term
| all pts with DM and HTN should be tx w a regimine that includes either: |
|
Definition
|
|
Term
| vaccination against ___ & ____ dz are part of prevention in DM therapy |
|
Definition
|
|
Term
| risks in DM gestation at 4-8wks gestation: |
|
Definition
| hyperglycemia during organogenesis can result in malformation and spontaneous abortions |
|
|
Term
| diagnostic OGTT (100g) for GDM: |
|
Definition
1. preprandial >95
2. 1Hr >180
3. 2hr>155
4. 3hr>140 |
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|
Term
|
Definition
|
|
Term
| glycemic goals for children and adolescents: |
|
Definition
6-12yo: PPG90-180/A1c<8%
13-19yo:PPG90-130/A1c<7.5 |
|
|
Term
| screening test for celiac dz |
|
Definition
| tansglutaminase & anti-endomysial |
|
|
Term
| celiac occurs in__% of pts w T1DM |
|
Definition
|
|
Term
| hypothyroidism occure in __% of pt w T1DM: |
|
Definition
|
|
Term
| screening tests for hypothyroidism |
|
Definition
o Screen for thyroid peroxidase (TPO) and thyroglobulin antibodies at diagnosis
o Monitor TSH after metabolic control is established; if abnormal then order a free T4 |
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