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Internal Medicine > Endo > Flashcards

Endo Flashcards

1
Q

What are the ADA guidelines for diagnosis of DM by fasting blood glucose?

A

> 125 mg/dL

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2
Q

WWhat are the ADA guidelines for diagnosis of DM by 2 hr plasma glucose following a 75 mg bolus?

A

> or = 200 mg/dL

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3
Q

What are the ADA guidelines for diagnosis of DM by random plasma glucose?

A

> or = 200 mg/dL + diabetic (hyperglycemic) Sx

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4
Q

How is prediabetes (decreased glucose tolerance) defined?

A

fasting glucose = 100-125

2 hour glucose tolerance = 140-199

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5
Q

What is the primary determinant of fasting glucose levels?

A

hepatic glucose production

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6
Q

What is the ADA recommended upper limit for adults w/ diabetes of Hb-A1c?

A

<7.0%

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7
Q

What is the ADA recommended range for adults w/ diabetes of preprandial glucose?

A

90-130 mg/dL

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8
Q

What is the ADA recommended upper limit for adults w/ diabetes of 2-hr post-prandial glucose?

A

<180 mg/dL

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9
Q

What is the ADA recommended upper limit for adults w/ diabetes of BP?

A

130/80

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10
Q

What is the ADA recommended upper limit for adults w/ diabetes of TGs?

A

150 mg/dL

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11
Q

What is the ADA recommended lower limitfor adults w/ diabetes of HDL chol?

A

40 mg/dL

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12
Q

What is the ADA recommended upper limit for adults w/ diabetes of LDL chol?

A

100 mg/dL

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13
Q

How much insulin do DM I pts (w/o DM II) usually take per day in terms of units/kg?

A

0.4-0.5 units/kg

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14
Q

How much insulin should a patient w/ isolated DM I take daily if he weighs 70 kg?

A

~35 units

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15
Q

Which DM II medication sould be avoided in pts w/ renal failure?

A

metformin

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16
Q

What DM II med is most important to avoid oin pts w/ heart failure? Why?

A

thiazolinedendione pioglitazone; fluid retention

17
Q

How can you differentiate alcoholic from diabetic ketoacidosis?

A

the glucose level will be normal or low in alcoholic

18
Q

What is the significance of an elevated urine albumin/creatinine ratio?

A

kidney dysfunction –> albuminuria

19
Q

Fibrates are primarily indicated for _______.

A

lowering triglyceride levels

Internal Medicine (46 decks)

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