1. Screen
\n2. Assess and advice
\n3. Follow up
\n4. Evaluate<\/p>\n
Screen<\/strong> Criteria for screening for prediabetes in asymptomatic adults<\/strong> Test yearly if prediabetes<\/strong> Screening for children for prediabetes<\/strong> Assessing patients with prediabetes<\/strong> Steps of achieving treatment goals<\/strong> 1. Screen 2. Assess and advice 3. Follow up 4. Evaluate Screen 1. Ask patient to take ADA risk test 2. Find out who might have risk factor 3. Be proactive in an effort to improve outcome 4. Depending upon results, invite them to be tested 5. If diagnosed with diabetes or prediabetes, 6. Assess …<\/p>\n","protected":false},"author":99,"featured_media":3113,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[95,39,107],"tags":[],"class_list":["post-3112","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-disease","category-feature","category-flash-news"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2022\/11\/IMG_4218.jpg?fit=900%2C1350&ssl=1","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts\/3112","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/users\/99"}],"replies":[{"embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3112"}],"version-history":[{"count":0,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts\/3112\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/media\/3113"}],"wp:attachment":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3112"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3112"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3112"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\n1. Ask patient to take ADA risk test
\n2. Find out who might have risk factor
\n3. Be proactive in an effort to improve outcome
\n4. Depending upon results, invite them to be tested
\n5. If diagnosed with diabetes or prediabetes,
\n6. Assess and advice, follow up, and evaluate<\/p>\n
\nDiabetic risk factor<\/strong>
\n1. Consider testing all adults with BMI>25 KG\/M2 and additional risk factors. If no risk factor, consider screening no later than age of 45 years.
\n2. If normal results, repeat testing at 3 years interval. More frequently depending upon initial test results and risk factor.<\/p>\n
\n\u2022 Physical inactivity
\n\u2022 First degree relative with diabetes
\n\u2022 High risk-race\/ethnicity
\n\u2022 Women who deliver a baby weighing>9 lb or were diagnosed with GDM
\n\u2022 Hypertension(>140\/90 mm\/hg or on therapy for htn
\n\u2022 HDL-C>35mg\/dl or TG>250mg\/dl
\n\u2022 A1c>5.7%.IGT,or IGF on previous testing
\n\u2022 Other clinical conditions associated with insulin resistance
\n\u2022 History of CVD
\n\u2022 Modifiable risk factor of prediabetes for CV disease
\n\u2022 Non modifiable- age race\/ethnicity, gender, family history
\n\u2022 Modifiable- physical inactive, overweight\/obesity, hypertension, smoking, abnormal lipid metabolism<\/p>\n
\nConsider for all children who are overweight and have 2 of any following risk factors
\n\u2022 Family history of t2dm in first and second degree relative
\n\u2022 High risk race\/ ethnicity
\n\u2022 Signs if insulin resistance or conditions associated with insulin resistance
\n\u2022 Maternal history of diabetes of GDM during child\u2019s gestations
\n\u2022 Begin screening at age of 10 years or onset of puberty
\n\u2022 Screen every2- 3 years
\n\u2022 A1C is recommended for diagnosis in children<\/p>\n
\n1. What does the patient already know
\n2. What does the patient want to know
\n3. What is of concern to the patient
\n4. Desired level of information
\n5. Evaluate the spectrum of predisposing risk factors
\n6. Involve them in developing a management strategy, especially changes in lifestyle-weight loss, increase activity, healthy eating<\/p>\n
\n\u2022 Assess
\n\u2022 Generate goals
\n\u2022 Record
\n\u2022 Evaluate
\n\u2022 Empower focus on developing specific goals
\n\u2022 Let the patient take the lead keep goals
\no Few in number
\no Individualized
\no Realistic
\no Measurable- frequency and duration<\/p>\n","protected":false},"excerpt":{"rendered":"