Management of Type 2 Diabetes - Week 3 Exam Questions and Answers Graded A+

Management of Type 2 Diabetes - Week 3 Exam Questions and Answers Graded A+ Who/ what is involved in the management of T2DM? - Answers •Practice Nurse/GP - Linked to consultant and DSN/community teams •Online education - DUK, Mydiabetesmyway, •Group Education session •Dietetic advice •Website and videos What should a diabetic patient expect from their care? - Answers •Blood glucose levels •Blood Pressure •Blood Lipids •Eyes Screened •Feet checked •Kidney function •Weight •Smoking Cessation Support •Individual Care plan •Education Course •Emotional and psychological support How can a patient be supported to self manage? - Answers Prepared patient - know about diabetes - know about own results -reflect what they want to discuss Other support - leisure services - occupation - family Prepared staff - know patients motivation - know results --- all for a supportive conversation with care plan Aim of diabetes treatment - Answers •RELIEF OF PRIMARY SYMPTOMS •PREVENTION OF COMPLICATIONS - How else can this be addressed? •PRESERVATION OF QUALITY OF LIFE - Balance good effects against side effects •DAMAGE MINIMALISATION - Avoidance of emergencies. What is the 5 step framework for choosing a glucose lowering drug? - Answers 1.Set a target HbA1c 2."Take 5" Are there other risk factors that should be also be treated? 3.Are the current treatments optimised. Max dose? Tolerated? Taken? 4.What are the glucose lowering options? •Remove any that are contraindicated •Of the remaining what are the pros and cons •Select the preferred choice. 5.Agree a review date and the target HbA1c with the patient How is a target HbA1c level considered? - Answers Case-by-case bias - personal preferences, comorbidities and risks from polypharmacy, and their likelihood of benefiting from long-term interventions. Such an approach is especially important in the context of multimorbidity.