New onset diabetes mellitus - Revision history

Rossdonaldson1: Redirected page to Diabetes mellitus (main)

2018-11-10T04:16:32Z

← Older revision		Revision as of 04:16, 10 November 2018
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	~~==Background==~~		#REDIRECT[[Diabetes mellitus (main)]]

	~~==Clinical Features==~~

	~~==Differential Diagnosis==~~
	~~{{Hyperglycemia DDX}}~~

	~~==Evaluation==~~
	American Diabetes Association Diagnostic Criteria. Need 1 of the following criteria.<ref>American Diabetes Association. Standards of medical care in diabetes--2013. Diabetes Care 2013; 36 Suppl 1:S11.</ref>
	*HbA1C ≥6.5%
	*FPG ≥126mg/dL (7.0 mmol/L). Fasting is defined as no caloric intake for at least eight hours
	*Two-hour plasma glucose ≥200mg/dL (11.1 mmol/L) during an oral glucose tolerance test
	*In a patient with classic symptoms of hyperglycemia or hyperglycemic crisis, a random plasma glucose ≥200mg/dL (11.1 mmol/L)
	**Most common way diagnosed in ED

	~~==Management==~~
	~~{{DM outpatient managment}}~~

	~~===Primary Care===~~
	*If HbA1c > 6.5, titrate fasting blood sugar to 80 to 120
	*ADA diet control until HbA1c is >7
	*all diabetes mellitus need HbA1c q 3mo, Ma-cr to check for microalbuminuria q year

	~~==Disposition==~~
	*Asymptomatic patients can be discharged with follow up with primary care physician<ref>[[EBQ:Relevance of Discharge Glucose Levels]]</ref>

	~~==See Also==~~
	*[[Diabetes ~~Mellitus~~ (~~Main~~)]]
	*[[EBQ:Relevance of Discharge Glucose Levels]]

	~~[[Category:Endocrinology]]~~

	~~==References==~~
	~~<references/>~~

2017-11-11T09:24:22Z

Text replacement - " percent" to "%"

← Older revision		Revision as of 09:24, 11 November 2017
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	==Evaluation==		==Evaluation==
	American Diabetes Association Diagnostic Criteria. Need 1 of the following criteria.<ref>American Diabetes Association. Standards of medical care in diabetes--2013. Diabetes Care 2013; 36 Suppl 1:S11.</ref>		American Diabetes Association Diagnostic Criteria. Need 1 of the following criteria.<ref>American Diabetes Association. Standards of medical care in diabetes--2013. Diabetes Care 2013; 36 Suppl 1:S11.</ref>
	*HbA1C ≥6.5 ~~percent~~		*HbA1C ≥6.5%
	*FPG ≥126mg/dL (7.0 mmol/L). Fasting is defined as no caloric intake for at least eight hours		*FPG ≥126mg/dL (7.0 mmol/L). Fasting is defined as no caloric intake for at least eight hours
	*Two-hour plasma glucose ≥200mg/dL (11.1 mmol/L) during an oral glucose tolerance test		*Two-hour plasma glucose ≥200mg/dL (11.1 mmol/L) during an oral glucose tolerance test

2017-01-18T11:45:11Z

Management

← Older revision		Revision as of 11:45, 18 January 2017
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	==Management==		==Management==
	*1st line Metformin 500mg BID --> 1000mg BID, do not give in people with abnormal LFT's, CHF Stage 3/4 and ARI, CKD		{{DM outpatient managment}}
	*2nd Agent Glipizide start 2.5mg BID -->5mg BID, need to monitor for hypoglycemia
	*3rd Agent Pioglitazone
	*After 3 agents need to start insulin if not controlled, ie NPH BID or Lantus Qday (0.5mg/kg) and titrate to Fasting Blood Sugar

	===~~Outpatient~~===		===Primary Care===
	*If HbA1c > 6.5, titrate fasting blood sugar to 80 to 120		*If HbA1c > 6.5, titrate fasting blood sugar to 80 to 120
	*ADA diet control until HbA1c is >7		*ADA diet control until HbA1c is >7

2017-01-18T11:43:43Z

Management

← Older revision		Revision as of 11:43, 18 January 2017
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	==Management==		==Management==
	*If HbA1c > 6.5, titrate fasting blood sugar to 80 to 120
	*ADA diet control until HbA1c is >7
	*1st line Metformin 500mg BID --> 1000mg BID, do not give in people with abnormal LFT's, CHF Stage 3/4 and ARI, CKD		*1st line Metformin 500mg BID --> 1000mg BID, do not give in people with abnormal LFT's, CHF Stage 3/4 and ARI, CKD
	*2nd Agent Glipizide start 2.5mg BID -->5mg BID, need to monitor for hypoglycemia		*2nd Agent Glipizide start 2.5mg BID -->5mg BID, need to monitor for hypoglycemia
	*3rd Agent Pioglitazone		*3rd Agent Pioglitazone
	*After 3 agents need to start insulin if not controlled, ie NPH BID or Lantus Qday (0.5mg/kg) and titrate to Fasting Blood Sugar		*After 3 agents need to start insulin if not controlled, ie NPH BID or Lantus Qday (0.5mg/kg) and titrate to Fasting Blood Sugar

			===Outpatient===
			*If HbA1c > 6.5, titrate fasting blood sugar to 80 to 120
			*ADA diet control until HbA1c is >7
	*all diabetes mellitus need HbA1c q 3mo, Ma-cr to check for microalbuminuria q year		*all diabetes mellitus need HbA1c q 3mo, Ma-cr to check for microalbuminuria q year

2017-01-18T11:35:25Z

Disposition

← Older revision		Revision as of 11:35, 18 January 2017
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	==Disposition==		==Disposition==
	*Asymptomatic patients can be discharged with follow up with primary care physician<ref>EBQ:Relevance of Discharge Glucose Levels</ref>		*Asymptomatic patients can be discharged with follow up with primary care physician<ref>[[EBQ:Relevance of Discharge Glucose Levels]]</ref>

	==See Also==		==See Also==

2017-01-18T11:35:05Z

2017-01-18T11:34:51Z

Disposition

← Older revision		Revision as of 11:34, 18 January 2017
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	==Disposition==		==Disposition==
	*Asymptomatic patients can be discharged with follow up with primary care physician		*Asymptomatic patients can be discharged with follow up with primary care physician<ref>EBQ:Relevance of Discharge Glucose Levels</ref>

	==See Also==		==See Also==

2016-12-04T13:27:17Z

← Older revision		Revision as of 13:27, 4 December 2016
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			==Background==

			==Clinical Features==

			==Differential Diagnosis==
			{{Hyperglycemia DDX}}

	==Evaluation==		==Evaluation==
	American Diabetes Association Diagnostic Criteria. Need 1 of the following criteria.<ref>American Diabetes Association. Standards of medical care in diabetes--2013. Diabetes Care 2013; 36 Suppl 1:S11.</ref>		American Diabetes Association Diagnostic Criteria. Need 1 of the following criteria.<ref>American Diabetes Association. Standards of medical care in diabetes--2013. Diabetes Care 2013; 36 Suppl 1:S11.</ref>
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	*In a patient with classic symptoms of hyperglycemia or hyperglycemic crisis, a random plasma glucose ≥200mg/dL (11.1 mmol/L)		*In a patient with classic symptoms of hyperglycemia or hyperglycemic crisis, a random plasma glucose ≥200mg/dL (11.1 mmol/L)
	**Most common way diagnosed in ED		**Most common way diagnosed in ED

	~~==Differential Diagnosis==~~
	~~{{Hyperglycemia DDX}}~~

	==Management==		==Management==
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	==Disposition==		==Disposition==
	*Asymptomatic patients can be discharged with follow up with primary care ~~Physician.~~		*Asymptomatic patients can be discharged with follow up with primary care physician

	==See Also==		==See Also==

2016-12-04T13:22:33Z

Differential Diagnosis

2016-11-23T21:29:25Z

Differential Diagnosis

← Older revision		Revision as of 11:35, 18 January 2017
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	==See Also==		==See Also==
	*[[Diabetes Mellitus (Main)]]		*[[Diabetes Mellitus (Main)]]
			*[[EBQ:Relevance of Discharge Glucose Levels]]

	[[Category:Endocrinology]]		[[Category:Endocrinology]]