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PD
A1C 5.76.4%
* For all three tests, risk is continuous, extending below the lower limit of
a range and becoming disproportionately greater at higher ends of the
range.
A1C <7.0%*
Preprandial capillary
plasma glucose 80130 mg/dL*
A1C <7%
Stringent goals (e.g. <6.5%) without significant hypos
or other adverse effects.
Less stringent goals (e.g. <8%) for patients :
History severe hypoglycemia,
limited life expectancy or
other conditions that make <7% difficult to attain.
A1C
If not performed/available within the past year
Fasting lipid profile, including total, LDL, and HDL
cholesterol and triglycerides, as needed
Liver function tests
Spot urinary albumintocreatinine ratio
Serum creatinine and estimated glomerular filtration rate
Thyroid-stimulating hormone in patients with type 1
diabetes
Benefits of Weight Loss
Delay progression from prediabetes to type 2 diabetes
Positive impact on treatment of type 2 diabetes
Most likely to occur early in disease development
Improves mobility, physical and sexual functioning &
health-related quality of life
Pharmacotherapy
Metabolic surgery
* Asian-American individuals
Treatment may be indicated for selected, motivated patients.
American Diabetes Association Standards of Medical Care in Diabetes. Obesity management
for the treatment of type 2 diabetes. Diabetes Care 2017; 40 (Suppl. 1): S57-S63
Pharmacologic Approaches
to
Glycemic Treatment
Recommendations: Pharmacologic
Therapy For T2DM
HYOGLICEMIC
HYPERGLICEMIA
Classification of Hypoglycemia
Fayfman et al, 2016, Management of Hyperglycemic Crises Diabetic ketoacidosis and Hyperglycemic
Hyperosmolar State
PRECIPITATING CAUS OF DKA
Clinical features of hyperglycemic emergencies
MANAGEMENT OF HYPERGLYCEMIC CRISES
Kitabchi AE, Umpierrez GE, Miles JM, et al. Hyperglycemic crises in adult patients with diabetes. Diabetes Care
2009;32(7):1339
Guidelines
Full version
Abridged version for PCPs
Free app
Pocket cards with key figures
Free webcast for continuing
education credit
Professional.Diabetes.org/SOC