COMPREHENSIVE DIABETIC CARE EXAM QUESTIONS AND ANSWERS.

Antiplatelet therapy Aspirin 81mg daily for ASCVD secondary prevention only Aspirin helps decrease risk of preeclampsia in pregnancy Neuropathy 10-g monofilament test and 1 other sensation test (once per year) If high risk, comprehensive foot exam Use pregabalin, duloxetine, and gabapentin Foot Care wash and dry feet daily lotion tops and bottoms of feet trim toenails with file Wear socks and shoes that breathe Diabetic retinopathy need eye exam upon diagnosis If retinopathy, repeat test annually To slow progression and risk, stop smoking, control BG, BP, cholesterol Vaccines Hep B Flu Both 23 and 13 Cholesterol Control Diabetes + ASCVD = High intensity Statin Diabetes + Age (45-64) = Mod intensity Diabetes + young age + ASCVD risk factor = mod intensity Add Zetia if ASCVD risk w/ statins is over > 20% Weight Control Patients encouraged to lose > 5% Goal waist circumference (35 female and 45 male) BP control if ASCVD risk is high then < 130/80 If not then 140/90 No albuminuria = standard HTN therapy Albuminuria = ACE/ARB