Screening
As of the 2022 ADA Standards, everyone should be screened for diabetes at this age.
What is 35 years old?
5-8 million people with diabetes are on this drug to help maintain their blood sugars.
What is insulin?
Patients with T2D are 2-4 times more likely to develop this than people without diabetes. In addition, this accounts for around 50-60% of all deaths in T2D and is the leading cause of death in diabetes.
What is cardiovascular disease?
Although it is often an insurance battle, the recommendation from the ADA is that people with diabetes on insulin (even just basal!) should have access to this technology.
What is Continuous Glucose Monitoring or CGM?
While the Standards focus on general protocols for treating all people with diabetes, they stress the importance of this type of care based on people’s unique needs.
What is individualized?
Some of these include physical inactivity, hypertension, overweight or obesity, women with PCOS, history of CVD, first degree relative with diabetes, and high risk ethnic group.
What are criteria for screening for diabetes in asymptomatic adults?
Metformin should be used as first line therapy in most cases except when these comorbidities exist or are at high risk?
What are CVD and CKD?
The 2022 standards strongly encourage a decrease and/or elimination of this side effect of medication therapy for people with diabetes, as research has shown it can lead to long term complications such as cognitive impairment and heart arrhythmias.
What is hypoglycemia?
Measured primarily with the use of CGM, this term is used to describe the percentage of time blood sugars are between 70-180. The ADA goal is 70%.
What is TIR or Time In Range?
Although the ADA recognizes that interventions such as diabetes technology and important diabetes medications may not be covered for many, their hope is by strongly recommending them in their standards will pressure these companies to approve.
What are insurance companies?
This should be screened for at various times including preconception (if preplanned pregnancy) and/or at first prenatal visit (around 15w).
What is pre-existing diabetes in pregnancy?
These 2 diabetes medications are helpful in improving cardiovascular outcomes.
What are SGLT-2s and GLP-1 RAs?
The 4 pillars to reduce these include glycemic management, blood pressure management, lipid management, and agents with cardiovascular and kidney benefit.
What are diabetes complications?
Fingersticks to check glucose were referred to as Self-Monitoring Blood Glucose (SMBG) in past standards, but has now been changed to this.
What is BGM or Blood Glucose Monitoring.
Four critical points when the need for this should be evaluated and offered include at diagnosis, annually when not meeting treatment targets, when complicating factors arise, and when transitions in life and care occur.
What is Diabetes Self-management Education and Support (DSMES)?
It is recommended to routinely screen for this psychological concern, especially when treatment targets are not being met and/or with the onset of diabetes complications.
What is diabetes distress?
Patient with diabetes ages 40 to 75 years old should be on these medications to help with lipid management.
What are statins?
In addition to GFR, a major emphasis should be placed on this health measurement to categorize patients with CKD.
What is albuminuria?
This one page report is offered with many CGMs as a standardized, visual view of a patients glucose data.
What is the Ambulatory Glucose Profile or AGP?
There is no clear evidence that these are effective for weight loss.
What are dietary supplements?
Labs such as ALT and AST and tests such as an ultrasound should be used to screen for this complication that can occur in patients with T2D, specifically with hypertension, heart disease, increased lipid levels, insulin resistance and obesity.
What is NAFLD or Non Alcoholic Fatty Liver Disease.
The preferred type of fast-acting insulins for T1D. These insulins are associated with less hypoglycemia, less weight gain and lower A1C.
What are analog insulins?
A rapid reduction in A1C can be associated with the development of this complication?
What is retinopathy?
Individual patients maybe using these, even thought they are not approved by the FDA, to manage blood glucose and insulin delivery. While providers cannot prescribe them, they should support their use.
What are do it yourself closed loop systems?
A virus that research has shown to infect beta cells causing an increase in diabetes diagnoses. It also has shown to effect adipose tissue in a way that has also contributed to increase is diabetes.
What is COVID 19?