ada4 Flashcards

1
Q

What are α-Glucosidase inhibitors used for?

A

They improve glycemic control by reducing postprandial glycemic excursions and glycemic variability.

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2
Q

Which glucose-lowering medications are not commonly used in the U.S. and Europe?

A

Meglitinides, colesevelam, quick-release bromocriptine, and pramlintide.

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3
Q

What were the greatest reductions in HbA1c seen with in a network meta-analysis?

A

Insulin regimens and GLP-1 RA.

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4
Q

Which glucose-lowering therapy is associated with the greatest reduction in body weight?

A

Subcutaneous semaglutide.

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5
Q

Which glucose-lowering therapy is associated with the greatest reduction in blood pressure?

A

SGLT2i and GLP-1 RA classes.

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6
Q

Which glucose-lowering therapy is associated with the greatest reduction in blood pressure?

A

SGLT2i and GLP-1 RA classes.

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7
Q

How does combination therapy benefit diabetes care?

A

It increases durability of the glycemic effect, targets multiple pathophysiological processes, reduces medication burden, and provides complementary clinical benefits.

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8
Q

What was the primary outcome of the Glycemia Reduction Approaches in Diabetes study?

A

Time to metabolic failure, defined as an HbA1c level ≥53 mmol/mol (≥7%).

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9
Q

What was the primary outcome of the Glycemia Reduction Approaches in Diabetes study?

A

Time to metabolic failure, defined as an HbA1c level ≥53 mmol/mol (≥7%).

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10
Q

What was the primary outcome of the Glycemia Reduction Approaches in Diabetes study?

A

Time to metabolic failure, defined as an HbA1c level ≥53 mmol/mol (≥7%).

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11
Q

Which medications were more effective at achieving and maintaining HbA1c targets in the Glycemia Reduction Approaches in Diabetes study?

A

Insulin glargine and liraglutide.

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12
Q

Which glucose-lowering therapy is prioritized in people with established cardiovascular disease?

A

GLP-1 RA.

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13
Q

Which glucose-lowering therapy is prioritized in people with heart failure or chronic kidney disease?

A

SGLT2i.

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14
Q

What factors should be considered when choosing glucose-lowering therapy for people with cardiorenal comorbidities?

A

Presence of cardiovascular disease, use of background therapy with metformin, stage of CKD, history of heart failure, and age.

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15
Q

What does ACEi stand for in the context of glucose-lowering medication management?

A

Angiotensin-converting enzyme inhibitor.

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16
Q

What does ASCVD stand for in the context of glucose-lowering medication management?

A

Atherosclerotic cardiovascular disease.

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17
Q

What does CKD stand for in the context of glucose-lowering medication management?

A

Chronic kidney disease.

18
Q

What does CVOT stand for in the context of glucose-lowering medication management?

A

Cardiovascular outcomes trial.

19
Q

What does DPP-4i stand for in the context of glucose-lowering medication management?

A

Dipeptidyl peptidase 4 inhibitor.

20
Q

What does GLP-1 RA stand for in the context of glucose-lowering medication management?

A

Glucagon-like peptide 1 receptor agonist.

21
Q

What does HF stand for in the context of glucose-lowering medication management?

A

Heart failure.

22
Q

What does MACE stand for in the context of glucose-lowering medication management?

A

Major adverse cardiovascular events.

23
Q

What does SGLT2i stand for in the context of glucose-lowering medication management?

A

Sodium-glucose cotransporter 2 inhibitor.

24
Q

What does SGLT2i stand for in the context of glucose-lowering medication management?

A

Sodium-glucose cotransporter 2 inhibitor.

25
Q

What does T2D stand for in the context of glucose-lowering medication management?

A

Type 2 diabetes.

26
Q

What does TZD stand for in the context of glucose-lowering medication management?

A

Thiazolidinedione.

27
Q

Describe the benefits of α-Glucosidase inhibitors.

A

They improve glycemic control by reducing postprandial glycemic excursions and glycemic variability.

28
Q

Describe the benefits of combination therapy in diabetes care.

A

Combination therapy increases durability of the glycemic effect, targets multiple pathophysiological processes, reduces medication burden, and provides complementary clinical benefits.

29
Q

Describe the primary outcome of the Glycemia Reduction Approaches in Diabetes study.

A

The primary outcome was time to metabolic failure, defined as an HbA1c level ≥53 mmol/mol (≥7%).

30
Q

Describe the prioritization of glucose-lowering therapy in people with cardiorenal comorbidities.

A

GLP-1 RA is prioritized in people with established cardiovascular disease, while SGLT2i is prioritized in people with heart failure or chronic kidney disease.

31
Q

Define ACEi in the context of glucose-lowering medication management.

A

ACEi stands for angiotensin-converting enzyme inhibitor.

32
Q

Define ASCVD in the context of glucose-lowering medication management.

A

ASCVD stands for atherosclerotic cardiovascular disease.

33
Q

Define CKD in the context of glucose-lowering medication management.

A

CKD stands for chronic kidney disease.

34
Q

Define CVOT in the context of glucose-lowering medication management.

A

CVOT stands for cardiovascular outcomes trial.

35
Q

Define DPP-4i in the context of glucose-lowering medication management.

A

DPP-4i stands for dipeptidyl peptidase 4 inhibitor.

36
Q

Define GLP-1 RA in the context of glucose-lowering medication management.

A

GLP-1 RA stands for glucagon-like peptide 1 receptor agonist.

37
Q

Define HF in the context of glucose-lowering medication management.

A

HF stands for heart failure.

38
Q

Define MACE in the context of glucose-lowering medication management.

A

MACE stands for major adverse cardiovascular events.

39
Q

Define SGLT2i in the context of glucose-lowering medication management.

A

SGLT2i stands for sodium-glucose cotransporter 2 inhibitor.

40
Q

Define T2D in the context of glucose-lowering medication management.

A

T2D stands for type 2 diabetes.

41
Q

Define TZD in the context of glucose-lowering medication management.

A

TZD stands for thiazolidinedione.