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"Ides"; SE = hypoglycemia, weight gain; C/I if pregnant, sulfa allergy
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Criteria for pre-DM or DM screening in
1 2 Consider screening for __ w/ type 1 DM
asymptomatic adults
3 For everyone else, test @ 4 Sulfonylureas
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Terms in this set (101)
, Criteria for pre-DM or DM screening BMI > 25 or > 23/asian
in asymptomatic adults 1st degree relative w/ it
AA, Latino, Asian ethnicity
CVD history
>130/80 BP or on HTN meds
HDL <35, Trig >250
PCOS
Inactivity
Difference between DM T1 & T2 1 - beta cells destroyed, not able to produce
insulin/deficiency, develops in childhood, can go into
DKA
2 - insulin resistance and inability of beta cells to
secrete insulin, not enough insulin or doesn't use it
efficiently, can go into HHS
If pre-DM & a1c >5.7 test yearly
If GDM test for life every 3 years
tested @ 24-48 weeks gestation
For everyone else, test @ 35 yo every 3 yrs
Around onset of puberty/10 yo BMI >85%-95% and have RF:
consider DM screening if maternal history or GDM
t2 fhx
ethnicity
signs of insulin resistance
*if normal, repeat in 1-3 yrs
a1c goal <7%
A1C recommendations Sickle cell, in 2nd or 3rd trimester, PP period, G6PD,
HIV, hemodialysis, recent blood loss or transfusion,
erythropoietin
To diagnose DM, need: 2 abnormal test results from same sample or 2
separate test samples