USMLE Forum Archives - USMLE Step 3 - Pr Med: Type 2 DM
Pr Med: Type 2 DM
meduploader - 05-16-09 13:48
Screening
Screening is with Fasting blood sugar – fasting blood sugar greater than or equal to 126 mg% , on two separate occasions confirms DM ( Also, Random blood glucose > 200 with symptoms indicate DM à but it needs confirmation with a fasting blood sugar on another day)
USPTF Recommendations
Screen all asymptomatic patients with sustained blood pressure ( either treated or untreated) > 135/80 mm hg ( that means all patients with “Hypertension” must be screened )
USPSTF says that there is insufficient evidence to recommend screening for type 2 diabetes in asymptomatic adults with blood pressure of 135/80 mm Hg or lower ( “I” recommendation)
Even though, its not USPTF recommendation, screen all patients with hyperlipidemia also for diabetes ( ADA recommendation)
meduploader - 05-16-09 13:48
Screening
Screening is with Fasting blood sugar – fasting blood sugar greater than or equal to 126 mg% , on two separate occasions confirms DM ( Also, Random blood glucose > 200 with symptoms indicate DM à but it needs confirmation with a fasting blood sugar on another day)
USPTF Recommendations
Screen all asymptomatic patients with sustained blood pressure ( either treated or untreated) > 135/80 mm hg ( that means all patients with “Hypertension” must be screened )
USPSTF says that there is insufficient evidence to recommend screening for type 2 diabetes in asymptomatic adults with blood pressure of 135/80 mm Hg or lower ( “I” recommendation)
Even though, its not USPTF recommendation, screen all patients with hyperlipidemia also for diabetes ( ADA recommendation)
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Re: Pr Med: Type 2 DM mtniharika - 10-06-09 03:16 Treatment goals for type 2 diabetic patients are related to effective control of blood glucose, blood pressure and lipids to minimize the risk of long-term consequences associated with diabetes.
The targets are:
HbA1c of 6%[26] to 7.0%[27]
Preprandial blood glucose: 4.0 to 6.0 mmol/L (72 to 108 mg/dl)[28]
2-hour postprandial blood glucose: 5.0 to 8.0 mmol/L (90 to 144 mg/dl)[
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