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CDCES Questions and Correct Answers | Latest Update

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When to screen for type 2 1)Screen all adults for preDM and DM2 starting at age 45 and ALL adults of any age who are over weight w BMI equal or >25 or BMI >23 in Asian Anericans w 1 or > risk factors. -hx cardio vascular - 1st degree relative w Dm - PCOS - hx of GDM - HDL =<...

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  • October 3, 2024
  • 42
  • 2024/2025
  • Exam (elaborations)
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1 | P a g e | © copyright 2024/2025 | Grade A+




CDCES Questions and Correct
Answers | Latest Update
When to screen for type 2


✓ 1)Screen all adults for preDM and DM2 starting at age 45 and ALL

adults of any age who are over weight w BMI equal or >25 or BMI >23 in

Asian Anericans w 1 or > risk factors.

-hx cardio vascular


- 1st degree relative w Dm


- PCOS


- hx of GDM


- HDL =< 35mg or triglycerides >= 250mg


- high risk population African American, Latino, Native American, Asian

American or PI


-HTN >= 140/90 or on meds


- A1c >= 5.7% IGT or IFG


- Other clinical conditions associated w insulin resistance (obesity, Acanthosis

Nigricans)


2) if normal, repeat every 3 years interval or more frequently based on risk


3) lifelong annual testing if do w preDM at least every 3 yr w GDM



Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+




Normal A1c


✓ <5.7%




Normal FPG


✓ FPG <100mg/dl




Normal Oral Glucose Tolerance Test 75g OGTT


✓ 2hr PG <140mg/dl




Prediabetes A1C range


✓ 5.7-6.4%




prediabetes impaired fasting glucose IFG


✓ 100-125 mg/dL




prediabetes oral glucose tolerance test OGTT


✓ Impaired Glucose Tolerance (IGT) 2 hr PG 140-199 mg/dl




Diabetes A1C range


Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

✓ 6.5% and above




Diabetes Fasting Plasma Glucose (FPG)


✓ 126 mg/ dl and higher




diabetes oral glucose tolerance test


✓ 200 mg/dL or above (2hr PG)




Random plasma glucose


✓ >200mg/dL plus symptoms

Random= wo regard to time since last meal


Symptoms include:


-polyuria


-polydipsia


-unexplained at loss




When testing for diabetes, In absence of unequivocal hyperglycemia, do

what?


✓ Repeat test to confirm results




Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

When to screen for GDM?


✓ -Screen at first visit for undiagnosed DM2 in those w risk factors same as

DM2

Hx cardiovascular, PCOC, high risk ethnics population, HTN 140/90, HDL35 or

less or triglycerides 250 or more, sedentary




-Screen 24-28 wks of gestation for all preg women not know to have DM




-Screen women w GDM for diabetes at 6-12wk postpartum




Two step NIH consensus-


✓ Step1- 50g glucose load (non) fasting w plasma BG test at 1 hr (if bg

130-140 or greater need to go to step 2)




Step 2- 100g OGTT (fasting) GDM dx if at least 2 or 4 plasma BG measured

fasting, 1 hr, 2hr, 3hr are met or exceeded




One step 75g OGTT


✓ GDM dx when any of the following BG values are exceeded.

Fasting 92 or more



Master01 | October, 2024/2025 | Latest update

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