Facts about Diabetes
-7th leading cause of death in US
-Systemic disease that also causes end stage renal disease, adult blindness, and non-traumatic
limb amputation
Over 70% of adults with DM also have
Hypertension (HTN)
Diabetes is a contributing factor to heart disease and stroke
Diabetics with HTN have 2-4x higher death rates than those without DM
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What is secondary diabetes?
results from another medical condition such has cushing sydrome, hyperthyroidism, pancreatitis,
or cystic fibrosis
what is pre-diabetes?
5.7-6.4% A1C
100-125 impaired fasting glucose
140-199 impaired glucose tolerance (75 g)
increases your risk for type II diabetes
what are normals?
, A1C below 5.7%
Fasting BG 99 or below
GTT 140 or below
is pre-diabetes symptomatic?
no symptoms and without preventative measures the patient will likely develop diabetes within
10 years
what are the blood markers for diabetes: fast plasma glucose level?
fasting BG >126 *must be confirmed with repeat test on different day
fasting means patient has not eaten for at least 8 hours
normal fasting BG (non diabetic) = 74-106
what are the blood markers for diabetes: random plasma glucose measurement
> or equal 200 PLUS symptoms
what are the blood markers for diabetes: two hour oral glucose tolerance test (OGTT) with 75 g
load?
> or equal 200
what causes false positives in OGTT?
oral contraceptives
corticosteroid use
carb restricting diets
what are the blood markers for diabetes: A1c
> 6.5%
ideal for some one diagnosed to keep A1C below 7%
normal A1C is 4-5.6%
test measures BG over 2 to 3 months