when is incretin released - Answers during meals
what potentiates glucose induced insulin secretion - Answers incretin
what is responsible for 70% of postprandial insulin secretion - Answers incretin
weight loss is seen with which type of DM - Answers type 1
Type 1A diabetes is _______________ mediated - Answers immune
Type 1B diabetes is ______________ - Answers idopathic (genetic + environment precipitant)
When do you screen for gestational diabetes (high and low risk?) - Answers High- early in second
trimester (13-28)
Low- 24-28 weeks
Diagnosis for gestational diabetes
Fasting
1 hr
2 ht - Answers Fasting >92
1 hr >180
2 hr >153
Women with GM should be rescreened ______________ postpartum - Answers 6-12 weeks
alpha cells secrete--- is this increased/decreased in DM - Answers glucagon
increased
When to screen adults for DM - Answers age 45
Screening at age 45 for DM...if normal rescreen when??? - Answers 3 years
Screen for DM: when woman had a baby that was _________ lbs - Answers > 9 lbs
Screen for T2DM in children who have BMI of.... - Answers >85th percentile
(high/low) birth weight can be a sign of insulin resistance - Answers low
Diabetes if fasting BG is _______ - Answers 126 or higher
Diabetic A1C is??? - Answers >6.5%
, Any random glucose over _______ is considered DM - Answers 200
Target weight loss recommended for diabetics is ?? - Answers 7%
In diabetes check these how often?
Monofilament
Proprioception - Answers mono- twice/year
proprioception- once/year
How often should you recheck patients HbA1C - Answers 2-4x a year (every 3-6 months)
How often should you check microalbumin urinalysis? - Answers 4x a year
How often should you check DM patient's lipids? - Answers yearly if controlled
How often should you check DMs patient's LFTs and KFTs - Answers 2x a year
Goal A1C for diabetics - Answers <7.0
If DM patient is meeting treatment goals how often to check a1c - Answers 2x a year
If DM patient is not at goal a1c and treatment is changing how often to recheck a1c - Answers q3
months
Test urine for ketones in which patients (4) - Answers -type 1 dM
-Pregnant/gestational dM
-diabetics with BG >300
-symptomatic (n/v/abdominal pain)
Goal BP for DM - Answers < 130/80
Two greatest behavior therapy DMs can do for the greatest results - Answers exercise
weight loss (10 kg)
antiplatelet therapy for men/women of what ages who are at risk for CAD with DM - Answers men >50
women >60
Antiplatelet therapy in DM is contraindicated in those ages - Answers <21
Antiplatelt for DM- if allergic to ASA give them - Answers clopidgrel 75
DM- most common skin organisms of infections - Answers gram +- staph/strep