Term
adults and children > __yo with T1DM should have an eye exam with ___ of their dx. |
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Definition
adults and children >/=10yo w T1DM should have an eye exam wn 5yrs of dx |
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Term
how long after dx should T2DM have their eye exam? |
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Definition
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Term
how often should diabetic get their eyes checked after their initial eval? |
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Definition
every year, of every 2-3yrs for those with an initial normal eye exam |
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Term
of the diabetic population, who is at a greater risk for developing retinopathy? |
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Definition
prego... should have comprehensive eye exam if considering pregnancy |
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Term
best way to reduce the risk of retinopathy: |
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Definition
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Term
4 main control measures to reduce the risk of retinopathy: |
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Definition
1. glycemic control 2. BP control 3. control Lipid 4. routine eye exams |
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Term
single most common cause of end stage renal dz: |
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Definition
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Term
4 RF for the development of end stage renal dz: |
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Definition
1. hyperglycemia 2. HTN 3. proteinuria 4. Smoking |
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Term
recommended protein intake for prevention of nephropathy: |
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Definition
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Term
normal albumin level in urine: |
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Definition
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Term
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Definition
30-299mg/L spot collection |
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Term
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Definition
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Term
guidlines for screening for albuminuria: |
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Definition
same as screening for retinopathy; 1. T1DM >10yo, 5yrs after dx creen anually 2. T2DM screen asap after dx |
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Term
any confirmed persistant albuminuria should be tx w: |
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Definition
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Term
6 factors that cause transient elevations of urine albumin: |
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Definition
1. hyperglycemia 2. HTN 3. exercise 4. UTI 5. HF 6. Acute febrile illness |
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Term
if a UA is negative for protein it should be screened for: |
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Definition
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Term
ACEs / ARBs in pregnancy? |
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Definition
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Term
3 adverse effects of ACE/ARB |
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Definition
1. ACEs cause nonproductive cough 2. ACEs may cause angioedema 3. ARB& ACEs cause or contribute to HYPERKALEMIA |
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Term
3 interventions that will lower the risk of neuropathy: |
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Definition
1. glycemic control 2. smoking cesation 3. routine foot examination |
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Term
diagnostic criteria for DPN: |
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Definition
2/3 loss/decrease of sensation w pin prick, vibration, temperature |
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Term
LDL,HDL,TG goals for people w DM |
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Definition
LDL<100 (<70) HDL >40men,>50females TG<150 |
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Term
Criteria for aspirin therapy for pt w DM: |
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Definition
1. men>50/women>60 with one adtnl RF (FHx,HTN,smoker,Dyslipiemia,microalbuminuria) |
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Term
dosing for primary prevention w aspirin therapy: |
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Definition
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Term
high risk pts that cannot take ASA can use ______ for prevention |
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Definition
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Term
what BP warrants Tx in DM |
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Definition
>140/90 drug therapy and life style changes |
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Term
all pts with DM and HTN should be tx w a regimine that includes either: |
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Definition
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Term
vaccination against ___ & ____ dz are part of prevention in DM therapy |
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Definition
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Term
risks in DM gestation at 4-8wks gestation: |
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Definition
hyperglycemia during organogenesis can result in malformation and spontaneous abortions |
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Term
diagnostic OGTT (100g) for GDM: |
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Definition
1. preprandial >95 2. 1Hr >180 3. 2hr>155 4. 3hr>140 |
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Term
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Definition
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Term
glycemic goals for children and adolescents: |
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Definition
6-12yo: PPG90-180/A1c<8% 13-19yo:PPG90-130/A1c<7.5 |
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Term
screening test for celiac dz |
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Definition
tansglutaminase & anti-endomysial |
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Term
celiac occurs in__% of pts w T1DM |
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Definition
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Term
hypothyroidism occure in __% of pt w T1DM: |
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Definition
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Term
screening tests for hypothyroidism |
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Definition
o Screen for thyroid peroxidase (TPO) and thyroglobulin antibodies at diagnosis o Monitor TSH after metabolic control is established; if abnormal then order a free T4 |
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