Diabetes: Rethinking risk and the Dx that fits.
Routinely screen adult patients with a sustained blood pressure >135/80 mm Hg for type 2 diabetes. Closely monitor pregnant women with 1 or more elevated glucose test results; although a diagnosis of gestational diabetes mellitus requires 2 or more abnormal values, even 1 may be associated with a higher risk of adverse outcomes. Include latent autoimmune diabetes in adults (LADA), a progressive form of type 1 with a slower onset, in the differential diagnosis for symptomatic patients who do not fit the classic patterns for type 1 or type 2 diabetes.
Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1084, USA. jkirk@wfubmc.edu
Julienne K
JK
Kirk
Shahla
S
Namak
D000328:Adult; D000367:Age Factors; D002648:Child; D003920:Diabetes Mellitus / Q000175:diagnosis* / Q000209:etiology; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications*; D008403:Mass Screening; D011247:Pregnancy; D012307:Risk Factors