Objectives
By the end of Family Medicine Clerkship, students will be able to:
1. Identify patients at risk for T2DM and select an appropriate screening strategy.
2. Diagnose DM using current criteria.
3. Discuss with patients the importance of lifestyle in the management of diabetes and the prevention of complications, especially the role of exercise, nutrition and avoidance of tobacco.
4. Propose an initial therapeutic plan for patients with T2DM and identify major drug side effects.
5. Describe recommended targets (glycemic control, lipids, blood pressure) for specific diabetic patients.
6. Propose a surveillance plan for patients with T2DM including the role of flow sheets and/or electronic records, and identification of end-organ damage.
Clinical Cards
Microcases
https://cards.ucalgary.ca/deck/376
References
Recommended Resources Addressing the Objectives
Canadian Diabetes Association – 2013 Clinical Practice Guidelines Quick Reference Guide
Objectives covered: 1,2,3,4,5
http://guidelines.diabetes.ca/CDACPG_resources/CPG_Quick_Reference_Guide_WEB.pdf
Canadian Diabetes Association. Clinical Practice Guidelines Quick Reference Guide. 2013; Available at: http://guidelines.diabetes.ca/CDACPG_resources/CPG_Quick_Reference_Guide_WEB.pdf. Accessed July/30, 2014.
No PMID
Screening for type 1 and type 2 diabetes (3 pages)
Objectives covered: 1
http://guidelines.diabetes.ca/Browse/Chapter4
Canadian Diabetes Association Clinical Practice Guidelines Expert Committee, Ekoe JM, Punthakee Z, Ransom T, Prebtani AP, Goldenberg R. Screening for type 1 and type 2 diabetes. Can J Diabetes 2013 Apr;37 Suppl 1:S12-5.
PMID:24070932
Insulin Management of Type 2 Diabetes Mellitus (6 pages)
Objectives covered: 4
http://www.aafp.org/afp/2011/0715/p183.html
Petznick A. Insulin management of type 2 diabetes mellitus. Am Fam Physician 2011 Jul 15;84(2):183-190.
PMID:21766768
Type 2 diabetes mellitus: an evidence-based update (9 pages)
Objectives covered: 3, 6
http://www.ncbi.nlm.nih.gov/pubmed/22739463
Zitkus BS. Type 2 diabetes mellitus: an evidence-based update. Nurse Pract 2012 Jul 10;37(7):28-37.
PMID:22739463
Foundational Knowledge
The Calgary Guide – Endocrinology section explores multiple diabetes topics i.e. a summary of the pathogenesis of Type II DM
http://calgaryguide.ucalgary.ca/slide.aspx?slide=DM%20II%20pathogenesis.jpg
Additional Resources
Canadian Diabetes Association – Healthcare Provider Tools