T3 PPTs Flashcards

1
Q

What are the general glycemic control goals for most patients with type 2 diabetes?

A

A1C <7%.

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2
Q

What exceptions warrant a less stringent A1C goal in type 2 diabetes?

A

Older adults, patients with frequent hypoglycemia, or advanced complications.

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3
Q

How often should A1C be measured in patients who are not meeting their glycemic goals?

A

Every 3 months.

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4
Q

What is the first-line pharmacologic therapy for type 2 diabetes?

A

Metformin, unless contraindicated.

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5
Q

What is the maximum recommended daily dose of metformin?

A

2000 mg/day.

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6
Q

What should be monitored in patients taking metformin long-term?

A

Vitamin B12 levels and eGFR.

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7
Q

What is the recommended A1C goal for younger patients without complications?

A

A1C <6.5%.

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8
Q

What is the target premeal glucose level for most patients with type 2 diabetes?

A

80–130 mg/dL.

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9
Q

How should glucose control be approached in patients with high cardiorenal risk?

A

Use GLP-1 receptor agonists or SGLT2 inhibitors.

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10
Q

When should dual therapy be initiated in type 2 diabetes management?

A

If A1C is not at target after 3 months of monotherapy.

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11
Q

What are some major risk factors for type 2 diabetes?

A

Obesity, family history, hypertension, and older age.

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12
Q

What fasting glucose level is diagnostic for type 2 diabetes?

A

FPG ≥126 mg/dL.

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13
Q

What is considered a normal BMI for adults?

A

18.5-24.9 kg/m².

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14
Q

How often should adults with prediabetes be tested for diabetes?

A

At least annually.

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15
Q

What is the BMI threshold for obesity (class 1) in adults?

A

BMI ≥30 kg/m².

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16
Q

What A1C value is diagnostic for type 2 diabetes?

A

A1C ≥6.5%.

17
Q

What are the symptoms of hyperglycemia in diabetes?

A

Increased urination, fatigue, blurred vision.

18
Q

How often should individuals with risk factors for type 2 diabetes be screened?

A

Every 3 years.

19
Q

What glucose test is used to diagnose gestational diabetes?

A

75-g oral glucose tolerance test (OGTT).

20
Q

What should be done if a patient’s fasting glucose is 143 mg/dL?

A

Confirm diagnosis with an A1C or repeat glucose test.

21
Q

What is the leading cause of death among individuals with diabetes?

A

Cardiovascular disease.

22
Q

Which racial/ethnic group has the highest prevalence of type 2 diabetes in the U.S.?

A

Non-Hispanic Black and Hispanic populations.

23
Q

What are the risk factors for developing diabetes complications?

A

Poor glycemic control, long duration of diabetes, hypertension.

24
Q

What is the role of insulin in managing type 2 diabetes?

A

It promotes glucose uptake into cells and reduces blood glucose levels.

25
Q

How does type 2 diabetes affect the kidneys?

A

It can lead to diabetic nephropathy and chronic kidney disease.

26
Q

What is the main objective in managing type 2 diabetes?

A

To reduce long-term complications such as cardiovascular disease and retinopathy.

27
Q

What is the role of lifestyle changes in preventing type 2 diabetes?

A

Diet and exercise can reduce the risk of developing diabetes.

28
Q

What is the prevalence of type 2 diabetes in Kentucky according to ‘Diabetes An Emoji Story’?

A

High prevalence, particularly among obese individuals.

29
Q

What are the complications of untreated diabetes?

A

Blindness, amputation, heart disease.

30
Q

Why is type 2 diabetes considered a major health concern?

A

It significantly increases the risk of death and disability.