screening for diabetes - Answers -obesity plus one more risk factor
- prediabetes
- GDM
-age 45+
-restest every 3 years
children:
- overweight plus one risk factor
normal A1c - Answers below 5.7% (how glycated your RBC are )
normal fasting glucose - Answers 99
normal glucose tolerence - Answers 140
methods of diagnosis - Answers -fasting plasma glucose
- oral glucose tolerence test
-A1C
- classic symptoms of hyperglycemia
symptoms of hyperglycemia - Answers - frequent urination
-extreme thirst
- weight loss
-vision
- tingling and numbness
GDM - Answers - test at 24-48 weeks
-2-10% women get it
- increases risk of HTN and c section
- infant: risk of premature labor, hypoglycemia, diabetes, macrosomia
MNT dor preexisting diabetes and pregnancy - Answers - preconception counseling
, - adjust meal plan ( first trimester - higher BG)
- avoid hypoglycemia and ketosis
- increase need for insulin in first and second trimester ( eat snacks)
blood sugar goals during pregnancy - Answers - before a meal: 93 or less
- one hour after a meal: 140
- 2 hours after a meal: 120
Met for gestational diabetes - Answers - 30-45 g of carbs + 2-3 oz protein per meal
- 15-30g carbs + 1-2 oz protein per snack
-avoid skipping meals/ snacks
- medication: insulin, metformin, glyburide
- exercise: 150 min of moderate aerobic per week
- encourage breastfeeding
the thyroid gland - Answers - butterfly shaped organ below the Adams apple
- stimulated by TSH (produced by the pituitary)
- produces T3, T4, calcitonin
- regulates fat and carb metabolism, body temp, heart rate
-
t3/t4 - Answers -t3 isomer biologically active
-t4 larger secretory product
- t4 is converted to t3 (by removing an iodine)
- t3 is produced in the thyroid, liver, kidneys , pituitary, NS
hypothalamic pituitary hormone axis (HPT) - Answers - HPT controls biosynthesis of thyroid
hormones
- hypothalamus released TRS --> stimulates TSH form pituitary
thyroid binding globulin - Answers transports thread hormone sin the blood
assessment of thyroid status - Answers - full thread panel