Diabetes 2 Flashcards
If pt is taking rapid acting insulin, is it okay if pt doesn’t eat with taking thier meds?
No
If pt is taking basal insulin, is it okay if pt doesn’t eat with taking thier meds?
Yes
If pt is taking an oral medication for diabetes like Metformin, what type of diabetes do they have?
T2DM
What blood glucose is considered hypoglycemia?
less than 70 mg’dL
IF pt is unconscious via hypoglycemia, what do you do?
Give 1 mg glucagon IM and monitor every 15 mins
What two types of meds can cause hypoglycemia?
Fast acting insulin and Sulfonylureas
Which meds primary mechanism of action decreases the production of glucose (gluconeogenesis) in liver?
Metformin
______ is the leading cause of morbidity and mortality for individuals with diabetes and is the
largest contributor to the direct and indirect costs of diabetes.
Atherosclerotic cardiovascular disease (ASCVD)
◦ Renal dose dosing adjustments
◦ Treatment
ACE Inhibitor or Angiotensin Receptor Blocker (ARB)
Added benefit from SLGT2s (preferred to minimize renal complications) and GLP1RAs
Diabetic Kidney Disease
◦ Diminished vision – may impact patient reading prescriptions or written
information
◦ Treatment from an ophthalmologist
Diabetic Retinopathy
◦ Common non-opioid adjuvants such as antidepressants and anticonvulsants
Common side effects - xerostomia
Neuropathies - Diabetic Peripheral Neuropathy
What are the 2 classes of drugs have renal and CV benefit?
GLP 1RAs (glutide) and SGLT2 inhibitors (glifozin)
What is the range of blood glucose that is acceptable for elective dental tx?
70-200 mg/dL
What is the most common complication in invasive dental procedure?
Hypoglycemia
What is a major risk. of hyperglycemia in type 1 DM?
Ketoacidosis
