EBP – Peer Comment – Marcia

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Peer Responses:Length: A minimum of 200 words per post, not including referencesCitations: At least two high-level scholarly reference in APA per post from within the last 5 yearsRelate to another journal readingScreening for diabetes By American Diabetes Association criteria for the diagnosis of diabetes are HbA1C ≥6.5%. (NGSP certified and standardized to the DCCT assay) or FPG – Fasting plasma glucose ≥126 mg/dL Fasting with no caloric intake for at least 8 hours, or 2 hours plasma glucose ≥200 mg/dL during an OGTT – Oral glucose tolerance test with glucose load containing the equivalent of 75 g anhydrous glucose dissolved in water (“2. Classification and diagnosis of diabetes: Standards of medical care in diabetes—2020,” 2019). Also, to ensure adequate care and health promotion in primary care, it involves a combination of clinical assessments, other laboratory tests, and patient education. Regular blood pressure checks because hypertension is a common disease in individuals with diabetes, then regular monitoring and management of blood pressure are essential to reduce the risk of cardiovascular complications. Lipid panel blood works like cholesterol and triglyceride levels help assess cardiovascular risk and guide interventions and kidney function like serum creatinine and urine albumin tests are crucial to detect early signs of diabetic nephropathy. Annual eye examination with dilated eye exams can help detect diabetic retinopathy early, preventing vision loss (“Standards of medical care in diabetes—2021 abridged for primary care providers,” 2021). In addition, diet, exercise, and regular foot examinations to assess ulcers, neuropathy, and vascular changes are important to prevent complications. Also, annual influenza and periodic pneumococcal vaccines are recommended to reduce infection risk. Patient Education on ongoing education on diabetes self-management, including blood glucose monitoring, medication adherence, and lifestyle modifications. Regular follow-up visits, shared decision-making, and individualized care plans based on the latest evidence-based guidelines contribute to the overall health and well-being of patients with diabetes in a primary care setting. It’s essential for healthcare providers to stay updated on the latest guidelines and research to deliver the best possible care. 2. Classification and diagnosis of diabetes: Standards of medical care in diabetes—2020. (2019, December 16). American Diabetes Association. https://diabetesjournals.org/care/article/43/Supplement_1/S14/30640/2-Classification-and-Diagnosis-of-Diabetes Standards of medical care in diabetes—2021 abridged for primary care providers.(2021, January 1). American Diabetes Association. https://diabetesjournals.org/clinical/article/39/1/14/32040/Standards-of-Medical-Care-in-Diabetes-2021

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