chapter 7 DM

Question 1

hyperthyroidism tx if pregnant

Answer 1

PTU
methimazole: 2nd/3rd TMs
c/f for teratogenicity

Question 2

DM screening

Answer 2

screening if obese, 45, FH, and blacks hispanics indians

screen in pregnancy is mandatory but otherwise really not

Question 3

DM
>126 fasting 2x
random >200 once
Hgb > 6.5 on 2 seperate occassions

Answer 3

UNLESS SX, then one test is enough

Question 4

DM in pregnancy

Answer 4

oral glucose tolerance test
1-3 hrs
1: 180
2: 160
3: 140

any value greater than the above

Question 5

insulet cell type

Answer 5

T1: loss of B cell
T2: amyloid

Question 6

keep post prandial glucose <180

fasting glucose <130

Answer 6

glucose goals

if hypoglycemia in past, then goal A1C 8, morbidity condition, non DM pt present with hypoglycemia