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NR601 / NR 601 Final Exam Study Guide Primary Care of the Maturing & Aged Family Practicum 1.DM1 definition patho
: or absence of functioning beta cells Autoimmune
disorder 2.Asymptomatic diabetes
: type II diabetes affects nearly 10% of the population, and due to this
high prevalence, potentially severe complications 3.Prediabetes labs
: 1. Prediabetic- fasting glucose consistently elevated above the normal
range but less than 100-125.Impaired glucose tolerance (IGT) state of hyperglycemia where 2 hr post glucose load glycemic level is 140-199.RANDOM glucose test cannot be used to diagnose pre-diabetes. Needs 1 / 3
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to be fasting or two-hour glucose tolerance test. A1c greater than 5.7%.Fasting blood glucose greater than 100 but less than 126. OGTT greater than 140 but less than 200.
4.Diagnostic Criteria of Diabetes
: However, if the individual is asymptomatic, then a diagnosis of
diabetes mellitus requires two positive tests that are separated by at least one week of time.
5.Diagnostic Criteria
: · AIC of 6.5 or higher=diabetes
·Random plasma glucose level of 200 WITH classic symptoms of hyperglycemia or a hyperglycemic crisis ·Fasting plasma glucose level of 126 or higher on TWOoccasions(fasting is defined as no caloric intake for at least 8 hrs ·2 hour glucose tolerance test- 2-hour post load plasma glucose level of 200 or higher during an OGTT, following consumption of a glucose load containing the equivalent of 75g of anhydrous glucose dissolved in water (OGTT is also used to screen for diabetes during pregnancy) · 6.screening for type 1 and type 2 : · You do not screen for type 1 diabetes but you do screen for type 2 if 2 / 3
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an individual is overweight or obese, regardless of age, and for all adults aged 45 years and older. Tests should be repeated at a minimum of 3 year intervals 7.what is the minimum time interval for screening for Diabetes type 2
: 3 years
8.treatment for Type 1 and what blood sugar level before meals ?: Type 1- FIRST LINE: INSULIN. The initial goal of treatment for type 1 DM is to normalize the elevated blood glucose level. This is best accomplished by intensive insulin regimens to achieve the following
goals: plasma glucose levels of 80 to 130 mg/dL before meals
9.1 - 2 hours postprandial blood sugar and A1C goal for a type 1 DM
?: (1-2 hours after the beginning of a meal) glucose levels of less than
180 mg/dL, and an A1C below 7% for adults with type 1 DM.
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