Endocrine Flashcards
When do we recheck TSH after being treated with levothyroxine?
6 weeks
What medications for hyperthyroidism?
Methimazole
PTU
What meds for hyperthyroidism is preferred during pregnancy?
1st trimester: PTU
2nd & 3rd Methimazole
what happens in hyperparathyroidism?
High calcium
Low phosphorus
What is a concern if someone has high calcium?
underlying malignancy
someone has subclinical hypo/hyperthyroid…what do you want to do?
Come back in 6 months and recheck
Difference between Somogyi and Dawn effect?
Somogyi has a dip in blood sugar during the night and then sudden rise in the morning
Dawn has a steady rise in BS all night
How to treat Somogyi effect?
May nighttime insulin dose is too high and causing a dip in their BS at night
Are they exercising at night that’s causing the dip?
How to treat the Dawn effect?
Need to increase insulin
What hbA1c value determines that a patient has diabetes?
hba1c >6.5
What’s the max dose of metformin?
2,550mg/ day
Which oral type 2 diabetes meds are cardioprotective?
SGL2 inhibitors
“-flozin”
GLP-1 agonists
What HbA1C are we initiating insulin?
> 9%
Name a sulfonylurea?
whats a major side effect?
glipizide
hypoglycemia
What do labs look like for Addisons?
low cortisol
(everything is low)
HIGH potassium
