Internal Medicine
Curricular Elements:
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Objectives
Case I
Case II
Case III
Adult Vaccination
Cancer Screening
Diabetes Screening
PREVENTION & SCREENING
Diabetes Mellitus
TABLE 1
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TABLE 2
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Criteria for the diagnosis of diabetes mellitus
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Who should be screened for diabetes?
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Any of the following: Symptoms of diabetes (polyuria,
polydipsia, unexplained weight loss) plus a casual plasma glucose
concentration Or A fasting plasma glucose concentration > 126 mg/dL (measured after at least 8 hours of no caloric intake) Or An abnormal oral glucose tolerance test result (a plasma glucose concentration 200 mg/dL 2 hours after a glucose load of 75 grams of anhydrous glucose dissolved in water).
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Consider testing all persons age 45 and older (if normal,
repeat every 3 years) Consider testing at a younger age, or more frequently, for any of the following: Obese persons First-degree relatives of persons with diabetes Members of high-risk ethnic groups (eg, African American, Hispanic, Native American) Mothers of babies weighing>9 lb at birth Women with a history of gestational diabetes Hypertensive patients ( 140/90 mm Hg) Dyslipidemic patients (HDL cholesterol 35 mgldL or triglyceride 250 mgldL or both) Patients with previous
findings of impaired glucose tolerance: Not recommended for routine clinical use. |
In the absence of
unequivocal hyperglycemia with acute metabolic decompensation, these
criteria should be confirmed by repeat testing on another day.
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