Sunday, March 22, 2009

Diagnosis of diabetes + relevant history questions.

Diagnosis is made by one of the following and must be confirmed on a subsequent day unless unequivocal hyperglycemia or metabolic decompensation.
  1. random glucose of >11mmol/L
  2. fasting glucose of >7.0mmol/L
  3. OGTT>11mmol/L 2 hours after 75g of glucose after 3 days of fasting.
Diagnosis alogoritham
  1. Do a random or fasting.
  2. If <5.5, diabetes unlikely
  3. If fasting 5.5-7.0, random 5.5-11.0 unequivocal, proceed to OGTT.
  4. If F>7.0, R>11.0, diabetes likely
  5. OGTT, between 7.8-11.0 impaired glucose tolerance, >11.0 diabetes likely.
Screen diabetes in pple >45 age.

CVD(AMI, stroke, PVD)
Hypertension
Obesity (>30kg/m2)
PCOS
Ethnic groups - aboroginal, torres strait, chinese (>35 age)

No comments:

Post a Comment