T3 PPTs Flashcards
What are the general glycemic control goals for most patients with type 2 diabetes?
A1C <7%.
What exceptions warrant a less stringent A1C goal in type 2 diabetes?
Older adults, patients with frequent hypoglycemia, or advanced complications.
How often should A1C be measured in patients who are not meeting their glycemic goals?
Every 3 months.
What is the first-line pharmacologic therapy for type 2 diabetes?
Metformin, unless contraindicated.
What is the maximum recommended daily dose of metformin?
2000 mg/day.
What should be monitored in patients taking metformin long-term?
Vitamin B12 levels and eGFR.
What is the recommended A1C goal for younger patients without complications?
A1C <6.5%.
What is the target premeal glucose level for most patients with type 2 diabetes?
80–130 mg/dL.
How should glucose control be approached in patients with high cardiorenal risk?
Use GLP-1 receptor agonists or SGLT2 inhibitors.
When should dual therapy be initiated in type 2 diabetes management?
If A1C is not at target after 3 months of monotherapy.
What are some major risk factors for type 2 diabetes?
Obesity, family history, hypertension, and older age.
What fasting glucose level is diagnostic for type 2 diabetes?
FPG ≥126 mg/dL.
What is considered a normal BMI for adults?
18.5-24.9 kg/m².
How often should adults with prediabetes be tested for diabetes?
At least annually.
What is the BMI threshold for obesity (class 1) in adults?
BMI ≥30 kg/m².