Q: When should we screen for diabetes?
A: In the following circumstances:
Family history of diabetes mellitus
Cardiovascular disease
Being overweight or obese
Sedentary lifestyle
Nonwhite ancestry
Previously identified glucose intolerance, impaired fasting glucose or metabolic syndrome
Hypertension
Increased levels of triglycerides, low concentrations of high-density lipoprotein cholesterol, or both
History of gestational diabetes mellitus Delivery of a baby weighing more than 4 kg (9 lb)
Polycystic ovary syndrome
Antipsychotic therapy for schizophrenia and/or severe bipolar disease
History of gestational diabetes mellitus Delivery of a baby weighing more than 4 kg (9 lb)
Polycystic ovary syndrome
Antipsychotic therapy for schizophrenia and/or severe bipolar disease
Q: What is the target glucose?
A: No one answer; the target should be individualized and take into account:
Residual life expectancy
Duration of disease
Presence or absence of microvascular and macrovascular complications
Other cardiovascular risk factors
Other medical conditions
Risk of severe hypoglycemia
The patient's psychological, social, and economic status
Q: Does close blood sugar control really matter?
A: Although it is uncertain that the clinical course of established CVD is improved by strict glycemic control, the progression of microvascular complications clearly is benefitted.
Q: What is the target blood pressure?
A: The blood pressure goal for persons with DM or prediabetes is less than 130/80 mm Hg.
For more information: AHRQ Research on Diabetes Care
No comments:
Post a Comment