21. DIABETES

Question 1

Drugs that can cause hyperglycemia

Answer 1

Corticosteroids
Protease Inhibitors
Atypical antipsychotics( olanzapine, clozapine, quetiapine)
Thiazide and Loop diuretics
Statins
Tacrolimus (Prograft)

Question 2

3 P for symptoms of diabetes +2

Answer 2

Polyuria, Polyphagia, Polydipsia

blurred vision, fatigue

Question 3

What is DKA

Answer 3

Diabetic Ketoacidosis

Question 4

DKA symptom

Answer 4

Hyperglycemia, polyuria, polyphagia, polydipsia, blurred vision
Metabolic acidosis (fruity breath, dyspnea)
Dehydration (dry mouth, excessive thirst, poor skin turgor, fatigue)

Question 5

DKA lab abnormalities

Answer 5

Glucose >300mg/dL
ketones present in urine and blood
pH

Question 6

DKA treatment

Answer 6

IV fluid, Insulin, potassium >3.5mEq/L

Question 7

What prevent nephropathy in diabetic patients in anti-HTN drugs?

Answer 7

ACE-I, ARB

Question 8

ADA A1C treatment goal

Question 9

7% A1C = mean plasma glucose (mg/dL)

Answer 9

154mg/dL

Question 10

Goal blood pressure for patients with diabetes ?

Question 11

GDM

Answer 11

Gestational Diabetes Mellitus

Question 12

DOC for GMD

Answer 12

Insulin

Question 13

How to take Metformin ER?

Answer 13

with dinner

Question 14

BBW for Metformin

Answer 14

Lactic acidosis

Question 15

Fortamet

Answer 15

Metformin

Question 16

Glumetza

Answer 16

Metformin

Question 17

Metformin IR vs ER dose

Answer 17

IR 500, 850, 1000mg

ER 500, 750, 1000mg

Question 18

Weight and hypoglycemia risk of Metformin

Answer 18

weight neutral / little to no risk of hypoglycemia

Question 19

CI of Metformin

Answer 19

1. SCr >= 1.5mg/dL (male) or >= 1.4mg/dL or CrCl