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8 Cards in this Set
- Front
- Back
monitoring
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frustosamine ( glycosalated albumin) shows the past 3 weeks glucose control
glycosalated HB- shows past 3-4 months glucose control |
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tm of typ 1 DM out patient
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1 insulin - regular
NPH rapid acting( lispro aspart glulisine long acting Glagine Detemir-- they are basal insulllins-- no peak and help to control gluconeo genesis |
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tx out patine type @ DM
best initial step |
BIS-TLS ( weight loss and exer + metformin
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tx out patine type @ DM
best initial step BIS-TLS ( weight loss and exer + metformin if it fail |
add insulin or a second agent-- choose GLP-1 agonist orDPP -4 inhibitor
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tx out patine type @ DM
best initial step BIS-TLS ( weight loss and exer + metformin if it fail---add insulin or a second agent-- choose GLP-1 agonist orDPP -4 inhibitor if it fail |
and cant achive HgA1 C goal--add TZD or ulfonurea as a 3 agents
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if adding insulin to oral therapy what to add
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choose long acting insulin at bed time
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health maintenance
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pneumococcal vaccine
yearly- eye exam to check for proleferative retinopathy wich need lazer tx statin medication if LDL > 100 ACE i or ARB if BP> 130/80 ACEi or ARB if urine test is + fro microalbuminuria aspirin in all P with DM> 30 foot exam foe neuropathy and ulers |
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