Diabetes: The 2007 Guidelines

Diabetes: The 2007 Guidelines
By:Kevin E. Moore, M.D.
LTC, MC
Residency Director
NCC-DACH Family Medicine Residency


ADA 2007 Clinical Practice Recommendations

* Why is this important?
* Current screening guidelines
* 6 cornerstones of diabetes
* New developments


Medical Management Can Change All of the Above
Screening
Risk Factors
* Family History
* Obesity (BMI > 25)
* Race/Ethnicity (African-American, Hispanic-American, Native Americans, Asian Americans, Pacific Islanders)
* Age > 45
* Hypertension (> 140/90)
* HDL Cholesterol < 35
* Triglycerides > 250
* History of GDM
* History of Macrosomia
* Polycystic Ovarian Disease
* Previous Abnormal Screening
* Physically Inactive
* Vascular Disease

Screening Recommendations
Repeat and Confirm all Screening Tests in 24 Hours!
Screening Tests
Cornerstones of Diabetes Management?
* Glycemic Control
* Hypertension
* Hyperlipidemia
* Nephropathy
* Retinopathy
* Foot Care
Drug Therapy
Nutrition Therapy
Screening Tests for Albuminuria
Screening Test Results
Annual Foot Exam
Risk Factors for Foot Disease
New Developments - Prevention
New Developments - Children

Diabetes: The 2007 Guidelines.ppt