Diabetes

Question 1

Diagnosis

Diabetes diagnosis criteria

Answer 1

• Fasting glucose ≥ 126
• HbA1C ≥ 6.5%
• 2 hr glucose test ≥ 200

Question 2

Goals

Diabetes goal

ADA guideline goal

Answer 2

• pre-prandial 80-130
• post prandial <180
• HbA1C < 7 %

Question 3

Criteria to start ACEi/ARB

Answer 3

• microalbuminuria > 30
• eGFR < 60

Question 4

Criteria to start ASA

Secondary prevention

Answer 4

h/o MI or stroke in high risk patients

Question 5

Criteria to start ASA

Primary prevention

Answer 5

ASCVD > 10%

Question 6

Criteria to start a STATIN

Age < 40

Answer 6

only if ASCVD/risk factors

Risk factors: LDL ≥ 100, HTN, smoker, family hx, albuminuria

Question 7

Criteria to start a STATIN

Age 40-75

Answer 7

If ASCVD/risk factors
high intensity statin

Risk factors: LDL ≥ 100, HTN, smoker, family hx, albuminuria

Question 8

Criteria to start a STATIN

Age 40-75

Answer 8

No risk factors
moderate intensity statin

Question 9

Criteria to start a STATIN

Age >75

Answer 9

No risk factors
moderate intensity statin

Question 10

Criteria to start a STATIN

Age >75

Answer 10

If ASCVD/risk factors
moderate-high intensity statin

Risk factors: LDL ≥ 100, HTN, smoker, family hx, albuminuria

Question 11

Immunizations recommended for diabetic patients

Answer 11

• Influenza
• COVID
• Hep B
• Tdap
• Pneumococcal
• Shringrix

Question 12

OTC/Herbal

Natural products with benefit in diabetes

Answer 12

• Chromium
• Cinnamon

Question 13

Rapid Acting Insulin

Generic + Brand

Answer 13

• Lispro- Humalog, Admelog, Lyumjev
• Aspart- Novolog, Fiasp
• Glulisine- Apidra

Question 14

Insulin

Regular insulin available IV?

Answer 14

Apidra (Glulisine)

Question 15

Standard insulin concentration & vial size

Answer 15

100U/mL
Available in 10 mL

Question 16

Standard insulin concentration & pen size

Answer 16

100U/mL
Available in 3 mL