diabetes

Question 1

what are the values used for the diagnosis of diabetes ?

Answer 1

1- fasting plasma glucose above 7
2- A1c above 6.5
3- 2hPG in a 75g OGTT > 11.1
4- Random PG > 11.1

signs of hypoglycemia plus one test is enoug gh for the diagnosis

if there are no signs of hyperglycemia two tests are needed for the confirmation of the diagnosis

Question 2

what test. is used for the diagnosis of gestational diabetes ?

Answer 2

75g OGTT

Question 3

what is the preferred initial pharmacological therapy for T1DM ?

Answer 3

metformin

Question 4

when should the introduction of insulin be considered in type 2 diabetes ?

Answer 4

1- iff there is evidence of ongoing catabolism
2- if symptoms of hyperglycemia are still present
3- or if the HbA1C is above 10 or blood glucose above 300

Question 5

type 2 DM with atherosclerotic heart disease should take what kind of antihypertensive ?

Answer 5

sodium glucose cotransporter 2 inhibitor or GLP

Question 6

type 2 DM patients with CVD who have a high risk of heart failure , what anti glycemic drug should be used ?

Answer 6

Sodium glucose cotransporter 2 inhibitor

Question 7

type 2 DM with chronic kidney disease ?

Answer 7

sodium-glucose cotransporter 2 inhibitor or glucagon-like peptide 1 receptor agonist

Question 8

how often should thee treatment regimen be evaluated ?

Answer 8

3-6 months

Question 9

when should GLP-1 RA be avoided ?

Answer 9

avoidance in renal disease