Diabetes Standards of Care Worksheet (Test 2)

A1c, 2-h PG, OGTT, or random glucose value accompanied by classic hyperglycemic symptoms/crises criteria

What tests should be utilized for diagnosing diabetes?

35 years old

At what age should routine screening for T2DM begin?

second generation antipsychotics

What classes of medications have an increased risk of type 2 DM that require routine screening?

5 or higher

Per the Diabetes Risk Test on page 10, what score indicates increased risk?

Person centered, nonjudgemental language that fosters collaboration between individuals and health care professionals "person with obesity"

What terms should be use to describe someone with diabetes and a BMI of 32?

Measurements of body fat, distribution (waste circumference), waste-to-hip ratio and/or waist-to-height ratio and they should be checked annually

In patients with diabetes, what body weight measurements should be assessed and monitored? And how often?

3-7% baseline weight

How much weight loss is recommended of an individual with obesity and diabetes?

1 yr

How long are weight loss programs supporting maintenance of the weight loss recommended?

NO

Are nutritional supplements such as Ensure and recommended?

BMI> 40 and lifestyle/pharmacologic implementations not working

When should metabolic surgery be considered? What other support and monitoring is needed?

at every routine clinical visit

How frequently should BP be assessed clinically?

DASH

For people with BP >120/80 mmHg, what diet should be implemented?

annually starting 5 years after dx

How frequently should kidney function (uACR and eGFR) be assessed in a patient with type 1 DM?

annually from the time of diagnosis

How frequently should kidney function (uACR and eGFR) be assessed in a patient with type 2 DM?

Type 1- within 5 years after the onset of diabetes; Type 2- at the initial time of diagnosis

How frequently should a patient with diabetes have a comprehensive eye examination to evaluate retinopathy? Does it differ for Type 1 DM and Type 2 DM?

They should be assessed annually using a comprehensive foot examination which includes inspection and sensory testing

How frequently should signs of peripheral neuropathy be assessed? And how is it assessed?

Signs/symptoms of autonomic neuropathy should be assessed annually through a detailed history and appropriate tests based on clinical manifestations

How often should signs and symptoms of autonomic neuropathy be assessed? And how is it assessed?

It should include inspection, assessment of foot pulses, and testing for loss of protective sensation (this should occur at least annually and more frequently if high risk)

What should be included in a foot care examination and how frequently should they occur?