click below
click below
Normal Size Small Size show me how
IOS 9 Exam 3
Pharmacotherapy of DM Part 2
Question | Answer |
---|---|
DIabets 1.5 characteristics | Latent autoimmune DM of adulthood. Patient have antibody but have slow b-cell death |
Gestational DM characteristics | Glucose intolerance, like type 2, considered early onset of type 2 |
Risks of gestational DM | Preclampsia, previous gestational DM, fetal complications, hypoglycemia |
Hemoglobulin A1C is | Describes stable, minor hemoglobin components formed from hemagolbin and glucose (2-3 months) |
Hypoglycemia is defined as | Plasma glucose <60-70 or s/s shaking, irritable, increased HA, sweating, weakness, hunger |
Hyperglycemia is defined as | Polydipsia, polyuria, nocturia, blurred vision, hunger, dry skin, DKA, hyperosmolar hyperglycemic state |
Microvascular complications are | Retinopathy, nephropathy |
Macrovascular complications are | CVD, Peripheral vascular disease |
Neuropathy complications | numbness/tingling, orthostatic hypoTN, sexual dysfunction |
Intensive control of glucose reduced what complications in Type 1 | Microvascular complications and neuropathy and Macrovascular disease |
Type 2 control of glucose reduces what complications | All complications |
Diagnosis of glucose requires1 of 3 on 2 different days | Symptoms (polyuria, polydipsea, unexplained weight loss +>200glucose), FPG >126, OGTT >200 |
Imparied fasting glucose is defined as | pre-DM, >100 but <126 |
ADA Canidates for DM screening | Age, Obseity, inactivity, race, if >45 Q3 year screening unless overweight +risk factor annual exam |
Candidates for DM screening | FHx, BMI.25, Preveious intolerance, HTN, high LDL, gestational DM, Race, polysystic ovary disease, Vascular disease, Metabolic syndrome! |
Post-prandial goals | ADA<180 Dr. Ellis <120 |
Preprandial glucose goals | ADA 90-130, Dr. Ellis <100 |
Bedtime glucose levels | ADA 110-150, Dr Ellis 140-160 |
ADA standards for medical care | A1C (3uncontrolled -6months-controlled), FLP-annual, Eye exam-annuak, Foot exam, dental exam, smiking cessation, weight reduction, ASA therapy, immunizations- influenza and pneumococcal |
ADA routine assessment | BP, Weitht, medication adherence, frequency of hypo/hyperglycemia, med side effects, self-management skills, lipid control, barriers to self care-depression |