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cce_family medicine_diabetes mellitus (physical examination (peripheral…
cce_family medicine_diabetes mellitus
history
investigations
fasting glucose, 2 hour OGTT, HbA1c (lipid profile)
RFT
(albumin) urine
physical examination
peripheral vascular (ulcers)
neurological (peripheral neuropathy)
fundoscopy (retinopathy)
general: BMI
(resuscitation) vitals (GCS)
weight reduction
disease, x smoking, x drinking
HbA1c 6.5% (metformin)
HbA1c 7% (ADD sulphonylurea e.g. diamicron, ADD DPP4 inhibitor e.g. sitagliptin)
HbA1c 7.5% (insulin)
stress reduction
diet
50% carbohydrates, 20% protein, <30% fat
exercise
DM target
normal < 7%
young < 6.5%
old (less strict)
hypertension target
normal < 140/90
normal (home) < 135/85
DM, renal < 130/80
1 reading (classical symptoms, random glucose 11.1 mmol/L)
2 readings (fasting glucose 7.0 mmol/L 2 hours 11.1 mmol/L HbA1c 6.5%)