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8 Cards in this Set

  • Front
  • Back
overweight child
1. BMI > 58th
2. weight for heigh > 85th
3. weight >120% ideal
child testing
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
prediabetes
1. FPG 100-125
2. 2 hr plasma glucose 140-199
3. A1C 5.7-6.4%
follow up every year and use TLC
gestational diabetes
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
complications GDM
macrosomic baby > 4000g which increases risk of:
1. intrauterine death
2. hypoglycemic perinatal period
3. type 2 later in life
criteria for DM
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
A1C
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
asymptomatic testing
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