answers.
What is the significance of the Diabetes Control and Complications Trial
(DCCT)?
It showed that tight glycemic control significantly reduces the incidence
of diabetic complications.
What are the treatment goals for diabetes in advanced age?
Usual goals if functional and cognitively intact; may consider HbA1C
<8% if not.
What is the recommended non-pharmacologic treatment for diabetes?
Medical nutrition therapy, exercise (150 min/week), and lifestyle
modifications.
Benefit of nonpharmacological therapy is most beifital for what age
group
For age >60 life style interventions is more effective
,If a pt has cardiovascular or CKD risk
GLP1 or SGLP2
If they have HF use SGLP2 because it has HF benefit
If a pt has no cv or cks risk and want to loose wight
GLP1
No reason for weight loss then we use metformin or other agent ex
GLP1
What is the first-line medication for Type 2 diabetes in pediatric
patients?
Metformin (Glucophage).
We use this over insulin of a1c<9
What is the first Line treatment for pediatric with type 1 or type 2 age
10-18 with random BG >250 H1ac>9
Insulin
, What is Diabetes Mellitus?
A condition characterized by elevated blood glucose due to absent or
inadequate pancreatic insulin secretion.
What are the two main types of diabetes?
Type 1 diabetes (autoimmune beta cell destruction, insulin-dependent)
and Type 2 diabetes (insulin resistance with concurrent insulin
deficiency).
What are the classic signs and symptoms of diabetes?
Polyuria (excess urination), polydipsia (excess thirst), polyphagia
(excess hunger), weight changes(weight loss type 1 weight gain type 2) ,
and ketonuria.
Because diabetes causes several complications
Treatment is targeted to those that protect the heart and kidneys to
recent comorbidities such as heart disease blindness nerve damage and
CKD