Type 1 Diabetes - Answers Due to autoimmune beta cell destruction, usually leading to absolute
insulin deficiency
Type 2 Diabetes - Answers Due to progressive loss of adequate beta-cell insulin secretion
frequently on the background of insulin resistance
MODY - Answers 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 - Answers 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? - Answers >6.5%
What A1C diagnoses pre-diabetes? - Answers >5.4%
What fasting blood glucose diagnoses diabetes? - Answers >126
When should you screen a patient for diabetes/pre-diabetes? - Answers BMI >25 + 1 risk factor
At what age should "healthy" patients start being screened? - Answers 45 years old
How frequently should patients be tested? - Answers Every 3 years
How frequently should well controlled diabetes be checked? - Answers Every 6 months
How frequently should uncontrolled diabetes be checked? - Answers Every 3 months
At what point should kids be screened for diabetes? - Answers >85th percentile + 1 risk factor
(FH, GDM mom, etc)
What medications can cause diabetes? - Answers Steroids
HIV meds
Atypical antipsychotics
Thiazide diuretics
What are risk factors for gestational diabetes? - Answers Overweight/Obese
FH of diabetes
Previous birth >9 lbs
Age >25
, When does gestational diabetes occur? - Answers 2nd or 3rd trimester
How long after pregnancy should patients be screened for diabetes? - Answers 6-12 weeks post
partum
How is gestational diabetes diagnosed? - Answers 50 gram OGTT (BG >140)
What A1C goal should be set for GDM? - Answers 6%
What blood sugar goals should be set for GDM? - Answers <95 mg/dL = fasting
<140 mg/dL = 1 hr PP
<120 mg/dL = 2 hr PP
How many carbs should a GDM patient eat per day? - Answers Minimum 175 g/day
How much protein should a GDM patient eat per day? - Answers Minimum 71 g/day
How much fiber should a GDM patient eat per day? - Answers Minimum 28 g/day
What medications are indicated for GDM? - Answers Insulin
Glyburide
Metformin is ok in 1st trimester
What are the 7 AADE self care behaviors? - Answers Healthy coping
Healthy eating
Being active
Taking medications
Monitoring
Problem solving
Reducing risk
What factors precipitate DKA/HHS? - Answers Infection
Pancreatitis
MI
CVA
Drugs