March 2019
The Guideline Guys - Type 2 Diabetes - Part 1
ROP 2019 March16 Chapters
- Introduction7:52Free AudioThe Guideline Guys - Type 2 Diabetes - Part 111:18Rural Med - Wheezing in the Village13:45The Guideline Guys - Type 2 Diabetes - Part 210:04Abstract 2: Benefits/Harms Of BP Treatment In Low-Risk Patients With Mild HTN4:52Abstract 3: Very Early Versus Delayed Mobilisation After Stroke3:28Abstract 4: Review And Meta-Analysis Of Prostate Cancer Screening With PSA5:17Abstract 5: Trial Of A Combo Probiotic For Children With Gastroenteritis5:09Abstract 6: Effect Of Early Surgery Vs PT For Nonobstructive Meniscal Tears5:05Abstract 7: Acetaminophen & Febrile Seizure Recurrences5:16Abstract 8: Clinical Prediction Rules: Challenges, Barriers, And Promise4:05Abstract 9: Interventions For Tapering Opioids In Patients With Chronic Pain2:56Abstract 10: Analysis Of GI Foreign Bodies Expelled Spontaneously In Children3:29BONUS: Everything Is Awesome: Don’t Forget The Lego3:17
The Guideline Guys - Type 2 Diabetes - Part 1
Joe Weatherly MD and Andrew Buelt MD
Taken from ADA, ACP, AAFP, USPSTF and Diabetes Canada guidelines/recommendations
Take Home Points:
- Appropriate screening can reduce of screening harms
- Lifestyle changes are an effective intervention in managing Type 2 DM
- Random blood glucose and risk calculators are the easiest, fastest tests for screening but also the most inaccurate
Screening
See chart below.
Risk calculator tools are not as accurate as a blood test but can be used as well in unique situations particularly in uninsured patients to help discuss value of screening with blood sampling.
Who to Screen
- Screening those with multiple risk factors yields the most benefit.
- Pediatric patients with risk factors should be screened but guidelines cannot agree on how often or when to start.
- Depression and bipolar disorder increase risk of developing diabetes.
- Most guidelines recommend screening individuals with hypertension up to 70 years of age.
- Early diagnosis and intervention in Type 2 Diabetes has not proven to improve some outcomes.
- Understanding weaknesses of the test you use can help interpret potentially inaccurate results.
Additional resource:
FINDRISC (Finnish Diabetes Risk Score)
https://www.mdcalc.com/findrisc-finnish-diabetes-risk-score
ROP 2019 March Full episode audio for MD edition 108:16 min - 151 MB - M4AROP 2019 03 March Individual MP3 Files 129 MB - ZIPROP 2019 03 March Written Summary 540 KB - PDF