Do I have the Sugar? | Sugar Coma | Pour Some Sugar On Me |
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What is 45 years old.
At this age, everyone should be screened for Diabetes Mellitus regardless of risk factors.
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What is an anion gap metabolic acidosis.
This metabolic derangement is found in DKA.
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What is cardiovascular disease.
This complication is the leading cause of death in patients with DM.
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What is First-degree overweight or obese BMI, a relative with diabetes, High-risk race/ethnicity such as African American, Latino, Native American, Asian American, and Pacific Islander, History of CVD, Hypertension, HDL cholesterol level <35 mg/dL and/or a triglyceride level >250 mg/dL, Women with PCOS, Physical inactivity, Other clinical conditions associated with insulin resistance such as severe obesity and acanthosis nigricans
Name two risk factors that warrant screening for DM.
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What is insulin.
This hormone is the reason most patients with Type 2 DM do not go into DKA.
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What is albuminuria.
This is the earliest sign of kidney disease in a patient with DM.
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What is A random glucose of 200 mg/dL or above, plus symptoms of hyperglycemia like polyuria or unexplained weight loss, or hyperglycemic crisis.
A fasting plasma glucose of greater than or equal to 126 mg/dL. Fasting is defined as no caloric intake for at least eight hours. A hemoglobin A1C greater than or equal to 6.5%. Two-hour plasma glucose ≥ 200 mg/dL during an Oral Glucose Tolerance Test.
Having one of these criteria gives you the diagnosis of DM.
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What is 600 mg/dL and 250 mg/dL.
These serum glucose levels are found HHS and DKA respectively.
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What are Retinal hemorrhages, cotton wool spots, and microaneurysms.
These 3 physical exam findings are often noted on fundoscopic exam of a patient with non-proliferative disease stemming from DM.
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