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Med Ed Medicine/FM > Diabetes > Flashcards

Diabetes Flashcards

1
Q

three groups to screen for DM

A

45+
BMI 25+
HTN

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2
Q

random sugar above what is DM?

A

200

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3
Q

fasting sugar 2x above what is DM?

A

125

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4
Q

fasting sugar 2x below what is not DM

A

100

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5
Q

fasting sugar between 100-125 means what

A

pre DM

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6
Q

2 hr OGTT diabetes and normal cutoff

A

200+ is DM
140 and below is normal
inbetween is prediabetes

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7
Q

what is rx for prediabetes?

A

lifestyle and metformin

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8
Q

what do you have to watch out for with metformin?

A

those with CKD at increased risk of lactic acidosis

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9
Q

what is first line therapy for DM?

A

metformin and lifestyle

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10
Q

what is second line therapy for DM??

A

add second oral agent

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11
Q

what is third line therapy for DM?

A

add insulin

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12
Q

when do you start insulin regardless in DM management?

A

a1c greater than 9.0

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13
Q

a1c cutoff for prediabetes and diabetes

A
  1. 7 pre

6. 5 DM

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14
Q

what is MC SE of metformin

A

diarrhea

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15
Q

what do you have to watch out for with glipizide (sulfonylureas)?

A

hypoglycemia

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16
Q

what is SE of glitizones?

A

wt gain and contraindicated with CHF

17
Q

what is contraindiction to glitizones?

A

CHF

18
Q

what can SGLT2 inhibitors cause?

A

DKA

19
Q

what three things should be checked yearly with DM?

A

retinal exam
foot exam
urinalysis

20
Q

what is preferred insulin therapy

A

basal bolus

21
Q

explain basal bolus insulin therapy

A

basal at night, bolus every meal

22
Q

2 LA insulins

A

lantis and levemir

23
Q

2 rapidinsulins

A

novolog and humalog

24
Q

2 mixed insulins

A

novolin and humalin

25
Q

NPH is what type of insulin

A

long acting

26
Q

regular insulin is what type of insulin?

A

rapid

Med Ed Medicine/FM (2 decks)

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