Diabetes Qs Flashcards

1
Q

CAUSES WEIGHT GAIN

A

PIOGLITAZONE
SULFONYLUREA
INSULIN

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2
Q

NO WEIGHT CHANGE

A

METFORMIN
DPP-4 INHIBITORS (GLIPTINS)

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3
Q

CAUSES WEIGHT LOSS

A

SGLT-2 INHIBITORS
GLP-1 AGONISTS

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4
Q

HIGH HYPOGLYCAEMIA RISK

A

insulin

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5
Q

MODERATE HYPOGLYCAEMIA RISK

A

SULFUNOYLUREA (HIGH IN ELDERLY)

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6
Q

LOW HYPOGLYCAEMIA RISK

A

DPP-4 INHIBITORS (GLIPTINS)
SGLT-2 INHIBITORS
GLP-1 AGONISTS
METFORMIN
PIOGLITAZONE

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7
Q

Insulin + CS

A
  • may require you to increase your insulin requirements
  • CS can cause hyperglycaemia
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8
Q

Which insulin is suitable for basal bolus regimen pts who travel frequently across different time zones

A

o Insulin determir or glargine
 Duration of action up to 24h
 No pronounced peak of action

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9
Q

When can type 2 diabetic use biphasic regimen?

A

7.5% - 9.0%

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10
Q

If pt is admitted into hospital which antidiabetic drug should you stop?

A

Metformin

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11
Q

What type of insulin is degludec

A

Tresiba
- Long acting
- OD
- Longer duration than other basal insulins

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12
Q

Which cough syrup is safe in diabetics?

A

Dextromethorphan

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13
Q

What can you use for sore tongue and cracked lips in diabetics?

A

Biotene: Saliva substitute

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14
Q

Oxybutinin patches

A
  • apply to clean dry unbroken skin on abdomen, hip, buttock
  • remove every 3-4 days
  • diff area
  • avoid same area for 7 days
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15
Q

If a patient 5 years old and below presents with symptoms of hypoglycaemia in an emergency in the pharmacy, what should you do? →

A
  • administer 5g oral glucose liquid
  • 1.5 glucose tablets
  • half-glucose 40% tube;
  • 1 teaspoon sugar (ONLY IF THE PATIENT IS CONSCIOUS)
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16
Q

Ca and Vit D with levothyroxine

A

Decreased absorption of levothyroxine

17
Q

Patient requires assistance with injecting insulin
recurrent symptomatic hypoglycaemia
Which insulin?

A
  • Determir or glargine
  • OD
18
Q

Pregnant woman, metformin is not sufficient

A

Rapid acting insulin
Lispro
Aspart
Glulisine

lower risk of hypo

19
Q

Sick day rules insulin

A
  • Insulin requirements can increase
  • Keep taking insulin - even if you don’t eat as much adjust dose as necessary
  • Test glucose more regulary
  • Check ketones
20
Q

Steroids and diabetes

A

Steroids can increase blood sugar