Diabetic Nephropathy Screening and Treatment

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18 Questions

How is diabetic nephropathy screened annually?

Measurement of albumin-to-creatinine ratio in random spot urine collection

What treatments delay the progression of diabetic nephropathy if albuminuria is present?

ACE inhibitors and Angiotensin II receptor antagonists

What is imperative in controlling diabetic nephropathy?

Control of hypertension and blood glucose levels in a healthy range

What percentage of patients with diabetes experience some degree of neuropathy?

60% to 70%

What are the two types of diabetic neuropathy mentioned?

Sensory and Autonomic

What causes sensory neuropathy in patients with diabetes?

"Loss of sensation, abnormal sensations, pain, and paresthesias (hands and/or feet bilaterally)"

Why are people with diabetes more prone to infections?

Defects in mobilization of inflammatory cells

What is the significance of monofilament screening in diabetes care?

Assesses the loss of protective sensation in feet

How can diabetic patients prevent infections?

Practice good hand hygiene

Why is diligent wound care important for foot ulcers in diabetic patients?

To prevent infection

How does persistent glycosuria affect the risk of infections in diabetes?

It predisposes individuals to urinary tract infections

What are common skin problems associated with diabetes?

Red-brown patches (Diabetic dermopathy)

What body systems can Autonomic Neuropathy affect in diabetes?

Gastrointestinal, cardiovascular, urinary, and sexual function systems

What is the major risk factor for foot complications in diabetes?

Peripheral artery disease (PAD)

How does sensory neuropathy affect foot health in diabetes?

Leads to loss of protective sensation

What is Gastroparesis and its implications in diabetes?

Delayed gastric emptying leading to anorexia and hypoglycemia

What are the major risk factors for amputation in diabetic patients?

Impaired immune function, smoking, and hematologic issues

What preventive measures should be taken to avoid foot complications in diabetes?

Performing daily foot inspections and keeping feet clean and dry

This quiz covers the screening process for diabetic nephropathy, including annual tests for albuminuria, albumin-to-creatinine ratio, and serum creatinine levels. It also discusses treatments that can help delay the progression of diabetic nephropathy.

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