Lesson consists of case with questions and answers, reference and ppt presentation.
KNOWLEDGE - Students should be able to describe:
1. Define and discuss diagnostic criteria for impaired fasting glucose and impaired glucose tolerance.
2. Define and discuss diagnostic criteria for type I and type II diabetes mellitus, based on a history, physical examination, and laboratory testing.
3. Define and discuss pathophysiology, risk factors, and epidemiology of type I and type II diabetes mellitus.
4. Define and discuss presenting symptoms and signs of type I and type II diabetes mellitus.
5. Define and discuss presenting symptoms and signs of diabetic ketoacidosis (DKA) and nonketotic hyperglycemia (NKH).
6. Describe pathophysiology for the abnormal laboratory values in DKA and NKH including plasma sodium, potassium, and bicarbonate.
7. Identify precipitants of DKA and NKH.
8. Identify major causes of morbidity and mortality in diabetes mellitus (coronary artery disease, peripheral vascular disease, hypoglycemia, DKA, NKH coma, retinopathy, neuropathy-peripheral and autonomic, nephropathy, food disorders, infections).
9. Identify laboratory tests needed to screen, diagnose, and follow diabetic patients including: glucose, electrolytes, blood urea nitrogen/creatinine, fasting lipid profile, HgA1c, urine microalbumin/creatinine ratio, urine dipstick for protein.
10. Compare and contrast non-pharmacologic and pharmacologic drugs and side effects noting advantages and disadvantages of treatment of diabetes mellitus to maintain acceptable levels of glycemic control, prevent target organ disease, and other associated complications.
11. Identify the specific components of the American Diabetes Association (ADA) dietary recommendations for type I and type II diabetes mellitus.
12. Identify basic management of diabetic ketoacidosis and nonketotic hyperglycemic states, including the similarities and differences in fluid and electrolyte replacement.
13. Describe basic management of blood glucoses in the hospitalized patient.
14. Outline the fundamental aspects of the American Diabetes Association (ADA) clinical practice recommendations and how they encourage high quality diabetes care.
15. Discuss basic management of hypertension and hyperlipidemia in the diabetic patient.