The most appropriate time to begin screening for renal
nephropathy in a patient with T2D is
at diagnosis
In order to determine how much T4 replacement a patient needs
to re-establish a euthyroid state, the NP considers
patient's body weight
A patient has been diagnosed today with T2DM. A criterion for
diagnosis is
fasting glucose > 126 and confirmed on a previous or
subsequent day
The most appropriate screen for diabetic nephropathy is
urinary albumin to Cr ratio and eGFR
ADA recommendation for diabetic nephropathy screening
urinary albumin to creatinine ratio once a year
A patient has 2 fasting glucose values (121 and 126) that were
measured on 2 separate days in the same week. This patient
,should have an A1c performed
A diabetic patient with albuminuria has been placed on an ACE
inhibitor. How soon can the antiproteinuric effect of the ACE
inhibitor be realized for this patient?
6-8 weeks
Hyperthyroidism may affect the BP
by producing an increase in systolic and diastolic readings
Mr Smith, an overweight 48 y/o M with undiagnosed T2DM,
presents to your clinic. Which symptom is least likely associated
with T2DM?
constipation
When serum free T4 falls
the TSH rises
What is the earliest detectable glycemic abnormality in a patient
with type 2 diabetes?
postprandial glucose elevation
, What are the recommended criteria for testing for prediabetes or
diabetes in asymptomatic
adults?
obesity and overweight at any age AND
1st degree relative w/ diabetes
high risk ethnic group
hx of GDM or baby larger than 9lbs
physically inactive
hypertensive
low HFDL or elevated trg
long term glucocorticoid treatment or atypical antipsychotics
what age to start screening for diabetes
45
What are the recommended criteria for testing for prediabetes or
diabetes
in asymptomatic children?
Low socioeconomic status and overweight
Overweight and has a 1st or 2nd degree relative with T2DM
All of the above
Overweight and mom had GDM when pregnant with this
particular child
Greater than 85th percentile for BMI for age, gender, weight for
height greater than 85th
t1dm diagnostic testing