CANADIAN DIABETES EDUCATOR EXAM 2024 (A+ Graded Already)

Diagnosis of Diabetes (FPG, A1C, 2hPG in a 75g OFTT, random PG) correct answers FPG /=7mmol/ml A1c /= 6.5% 2h PG in a 75g OGTT /= 11mmol/L random PG /= 11.1mmol/L Prediabetes (i.e. at high risk for developing diabetes) - A1C correct answers 6-6.4% what medical conditions can cause A1C results to be misleading? correct answers -hemoglobinopathies -iron deficiencies -hemolytic anemia -severe hepatic or renal disease Impaired Fasting glucose (IFG) correct answers FPG - 6.1-6.9mmol/L Impaired glucose tolerance (IGT) correct answers OGTT (w/ 75g of glucose) 7.8-11mmol/L Screening for T1D is .... correct answers NOT recommended Screening recommendations for T2D correct answers use FPG and/or A1c every 3 years in individuals /=40yo or in individuals at high risk (using risk calculator) macrosomic infant correct answers infant that weighs over 8lbs at birth microvascular complications correct answers retinopathy, neuropathy, nephropathy macrovascular complications correct answers coronary, cerebrovascular, peripheral Pharmacological therapies for PREVENTION of T2D (include by how much % it is reduced by) correct answers 1. Metformin (~30%) 2. Acarbose (~30%) 3. Thiazolidinediones (~60%) ACCORD, ADVANCE and VADT were the three major trials that concluded what? correct answers intensive glycemic control - lowering A1C 6% resulted in higher mortality, severe episodes of hypoglycemia - therefore targets should individualized!! TARGET for A1C, FPG and RPG for MOST Diabetic (T1D and T2D) patients? correct answers A1c 7mmol/L FPG 4-7mmol/L PPG 5-10mmol/L (5-8mmol/L if A1c target not achieved)