Diabetes #3

Question 1

What are the 2 main groups that make the treatment guidelines for Diabetic management?

Answer 1

AACE (american Association of clinical Endo)

ADA (American Diabetes Association)

Question 2

ABC’s of Diabetes are…

Answer 2

A - A1C
B - Blood pressure
C - Cholesterol

Question 3

Microvascular complications of Diabetes are ? (3)

Answer 3

Retinopathy
Nephropathy
Neuropathy

Question 4

Macrovascular complications of Diabetes are?

Answer 4

Accelerated CAD

Accelerated cerebral and peripheral vascular disease

Question 5

What is the leading cause of blindness in adults in the US?

Answer 5

Diabetic proliferative retinopathy

Question 6

2 main types of diabetic retinopathy?

Answer 6

Non-proliferative - caused by leaking fluid or book from tiny vessels in the retina = swelling, mostly in type 2

Proliferative -new blood vessels grow within retina and vitreous chamber
Seen in type 1 and 2

Question 7

What is the leading cause of Kidney damage in the US?

Answer 7

Diabetic Kidney Disease (DKD)

Question 8

You should test the urine of a diabetic annually for?

Answer 8

Microalbuminuria

Question 9

What is the mcg/mg that defines MACROalbuminuria?

Answer 9

> 300 mcg/mg

Question 10

Medications used to treat diabetic neuropathy?

Answer 10

Gabapentin (Neurontin)
Pregablin (Lyrica)
Duloxetine (Cymbalta)
Amitriptyline (Elavil)
Capsaicin topical cream

Question 11

______ ______ is caused by nerve damage and commonly seen in patients with diabetes. Can present with pain and swelling.

Answer 11

Charcot Foot

Question 12

Cardiovascular complication risk reduction should focus on…(5)

Answer 12

HTN control
Dyslipidema control
Kidney disease Dx and management
smoking cessation
ASA therapy

Question 13

Ideally when should type 1 patients check their blood sugars?

Answer 13

Daily before meals
In some cases, 1-2 hours after meals
At bedtime

Question 14

In managing dyslipidemia in diabetic patients of all ages with ASCVD you should add a ____ intensity statin to lifestyle therapy

Answer 14

High intensity statin

Question 15

For patients <40 yo with diabetes and ASCVD risk factors consider using a _______ intensity statin

Answer 15

Moderate intensity statin

Question 16

For patients 40-75 (and >75) without ASCVD use a _______ intensity statin

Answer 16

Moderate intensity statin

Question 17

T or F: ASA should be used as a PRIMARY prevention strategy in though with diabetes AND a history of ASCVD

Answer 17

False. ASA should be used as a SECONDARY prevention strategy

Question 18

What medications should a patient with ASCVD and documented ASA allergy take?

Answer 18

Clopidogrel

Question 19

Which medication should be taken by diabetics who are at increased risk of cardiovascular events?

Answer 19

ASA

Question 20

Management of kidney disease should be focused on….

Answer 20

Lowering blood pressure

Question 21

Diabetic patients should get which Tests / evaluations annually?

Answer 21

Annual optho exam, urine microalbumin, and diabetic foot exam