Diabetes

Question 1

Dx of Prediabetes?

Answer 1

FPG 100-125
2hr PG = 140-199 after a 75g OGTT
a1c = 5.7-6.4%

Question 2

Dx of DM?

Answer 2

hyperglyc or hyperglyc crisis + PG > 200
FPG > 126
2hr PG > 200 after a 75g OGTT
a1c > 6.5

Question 3

How much calories to lose 1 lb a week?

Answer 3

3500 calories in one week

Question 4

what is the waist circumference goal for females and males?

Answer 4

35 inches for females, 40 inches for males

Question 5

How many grams of carbs is:
one small piece of fruit
1 slice of bread
1/3 cup of cooked rice/pasta
1/2 cup of oatmeal

Answer 5

15 grams

Question 6

what drugs can increase BG?

Answer 6

BB
diuretics
cough syrups
immunosupressants
niacin, statins
PI, FQ
2nd gen AP

Question 7

Who should receive a max dose statin?

Answer 7

Pts with ASCVD risk > 20%

Question 8

who shoudl receive a medium statin?

Answer 8

age 40-75 years old with risk factors

Question 9

what are the ADA treatment goals?

Answer 9

a1c < 7%
pre- plasma glgose = 80 - 130
peak postprandial plasma glucose = < 180

Question 10

what drugs minimize hypoglycemia?

Answer 10

DPP4 inh
GLP1 agonists
SGLT2 inh
TZD

Question 11

what drugs promote weight loss?

Answer 11

GLP1 agonists or SGLT2 inh

Question 12

what drugs are the cheapest?

Answer 12

SU or TZD

Question 13

how many drug tx can u add before initiating insulin?

Answer 13

3 drug therapies before insulin if a1c not at goal < 7

Question 14

what drugs shuold not be used in HF?

Answer 14

TZD and alogliptin and saxagliptin

Question 15

which drugs shuold not be used for peripheral neuropathy / diabetic foot ulcers

Answer 15

canagliflozin

Question 16

which drug should not be used in gastroparesis / GI disorder?

Answer 16

glp1 agonists and pramlintide

Question 17

which drugs shuold not be used in eGFR or CrCl < 30?

Answer 17

metformin, sglt2i, exenatide, glyburide

Question 18

which drugs carry risks for pancreatitis?

Answer 18

dpp4i, glp1

Question 19

which drugs carry risk for cancer?

Answer 19

pioglitazone, dapagliflozin, glp1

Question 20

what drugs can cause hypoglycemia?

Answer 20

linezolid, BB, pentamadine, FQ

Question 21

sx of DKA?

Answer 21

mostly in DM1
BG > 250
ketones
ph < 7.35
AG > 12

Question 22

sx of HHS?

Answer 22

mostly in DM2
BG > 600
extreme dehydration
pH > 7.3

Question 23

tx for hyperglycemic emergencies?

Answer 23

NS until BG reaches 200 then change to d5w 1/2 NS
0.1u/kg bolus then 0.1u/kg/hr CIVI OR 0.14u/kg/hr CIVI
only tx acidosis with bicarb if pH < 6.9

Question 24

insuline dosing for DM1?

Answer 24

0.5u/TBW

Question 25

insulin dosing for DM2?

Answer 25

0.1-0.2u/TBW. Only add bolus if a1c not at goal despite control of FBG

Question 26

TZD moa?

Answer 26

ppary agonists that cause increased peripheral insulin sensitivity?

Question 27

TZD name?

Answer 27

pioglitazone