ANSWERS.
Type 1 Diabetes Answer - Due to autoimmune beta cell destruction, usually
leading to absolute insulin deficiency
Type 2 Diabetes Answer - Due to progressive loss of adequate beta-cell insulin
secretion frequently on the background of insulin resistance
MODY Answer - Maturity Onset Diabetes of Young; shows up when you're an
adolescent or young adult. It's caused by mutations that affect how well your
body makes insulin
LADA Answer - Latent autoimmune Diabetes; LADA happens because your
body makes antibodies that cause the immune system to attack the insulin-
making cells of your pancreas.
What A1C diagnoses diabetes? Answer - >6.5%
What A1C diagnoses pre-diabetes? Answer - >5.4%
What fasting blood glucose diagnoses diabetes? Answer - >126
When should you screen a patient for diabetes/pre-diabetes? Answer - BMI
>25 + 1 risk factor
, At what age should "healthy" patients start being screened? Answer - 45 years
old
How frequently should patients be tested? Answer - Every 3 years
How frequently should well controlled diabetes be checked? Answer - Every 6
months
How frequently should uncontrolled diabetes be checked? Answer - Every 3
months
At what point should kids be screened for diabetes? Answer - >85th percentile
+ 1 risk factor (FH, GDM mom, etc)
What medications can cause diabetes? Answer - Steroids
HIV meds
Atypical antipsychotics
Thiazide diuretics
What are risk factors for gestational diabetes? Answer - Overweight/Obese
FH of diabetes
Previous birth >9 lbs
Age >25
When does gestational diabetes occur? Answer - 2nd or 3rd trimester