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8 Cards in this Set
- Front
- Back
overweight child
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1. BMI > 58th
2. weight for heigh > 85th 3. weight >120% ideal |
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child testing
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overweight + 2 RF
1. fam hx 2. race 3. maternal GDM during gestation 4. acan nigricans, htn, dyslipidemia, poly ovary, small gest age for birth weight |
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prediabetes
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1. FPG 100-125
2. 2 hr plasma glucose 140-199 3. A1C 5.7-6.4% follow up every year and use TLC |
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gestational diabetes
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1. FGP >/= 92
2. 1 hour OGTT >/= 180 3. 2 hour OGTT >/= 153 if positive test 6-12 weeks post-partem and q 3years screen DM prenatal visit if RF and if + recreseen random day |
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complications GDM
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macrosomic baby > 4000g which increases risk of:
1. intrauterine death 2. hypoglycemic perinatal period 3. type 2 later in life |
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criteria for DM
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1. A1C >/= 6.5%
2. FPG >/= 136 3. 2 hr OGTT > 200 4. randome glucose >/= 200 in absence symptoms obtain #'s again on repeat testing for dx |
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A1C
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1. 2-3m avearge
2. </= 7% is goal gylcemic control 3. ADA recomends perform 2x yr if meet goals and 4x yr if not meeting goals |
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asymptomatic testing
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1. consider in all adults overweight BMI> 25 + RF
social hx (phys inactivity) fam hx race pregnancy (either baby > 9lbs or GDM) me hx = htn, HDL < 35, TG > 250, polycystic ovary dz, previous prediabetes, hx CVD, symptoms insulin resistance 2. absence criteria begin at 45 yoa 3. if normal repeat 3 yrs otherwise yearly for prediabetes/high risk |