Diabetes Mellitus Type 2: The Daily PANCE Blueprint
Which of the following is not considered diagnostic for diabetes mellitus?
A. Random plasma glucose > 200 mg/dL with symptoms of hyperglycemia
B. A1c ≥ 6.5
C. Fasting plasma glucose > 126 mg/dL on at least two separate occasions
D. Plasma glucose > 200 mg/dL measured after a glucose tolerance test
E. All of the above are diagnostic
Answer and topic summary
The answer is E. All of the above are diagnostic
Type 2 diabetes mellitus is a very prevalent, serious disease that impacts about 9% of adults in the United States. Risk factors include family history, obesity, sedentary lifestyle, smoking, and poor diet habits. Initial symptoms include polyuria, polydipsia, polyphagia, and blurred vision. Diagnosis is made by one of the following answer choices seen on the first slide. First-line therapies include metformin and lifestyle changes (i.e., weight loss + exercise). Early combination therapy can be considered at treatment initiation to extend the time to treatment failure. It is VERY important to reach tight glycemic control as soon as possible in diabetic patients. Complications of diabetes include microvascular (retinopathy, nephropathy, neuropathy) and macrovascular (stroke, myocardial infarction).
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Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Endocrinology ⇒ ⇒
Also covered as part of the Family Medicine EOR and Emergency Medicine EOR topic list
