IM Flashcards
1
Q
When do you screen adults for T2DM
A
at age 45- healthy bmi > 25 HTN ↑ lipids FDR w/ T2DR non-white person
2
Q
Diagnostic for T2DM
A
A1C > 6.5%
random glu > 200
fasting > 126
2 hour tolerance >200
3
Q
Healthy A1C
A
5.7% or less
4
Q
Goal A1C for old people
A
under 8
5
Q
Glitazones/
thiazolidinediones
A
PPAR- Y, ↑ insulin sensitivity
s/e
Weight gain, edema.
Hepatotoxicity, HF, risk of
fractures.
6
Q
Name this drug!
Inhibit intestinal brush-border α-glucosidases.
Delayed carbohydrate hydrolysis and glucose absorption
↓ postprandial hyperglycemia.
A
α-glucosidase inhibitors
Acarbose, miglitol
7
Q
When do you start insulin right away
A
if A1C is over 9.5%
