things to memorize Flashcards
1
Q
pts with DM1 should also be screened for which two autoimmune disorders?
A
- thyroid disease
* celiac
2
Q
Prediabetes FPG?
A
100+
3
Q
diabetes FPG?
A
126+
4
Q
prediabetes A1C?
A
5.7+
5
Q
diabetes A1C?
A
6.5+
6
Q
prediabetes 2h OGTT?
A
140+
7
Q
diabetes 2h OGTT?
A
200+
8
Q
random plasma glucose dx for DM?
A
200+
9
Q
for pts with DM and cognitive impairment we want to tailor their med regimen to avoid???
A
hypoglycemia
10
Q
A1C target nonpreg adults w DM
A
< 7
11
Q
preprandial BG for nonpreg adults w DM
A
80-130
12
Q
PEAK postprandial BG for nongpreg adults w DM
A
< 180
13
Q
level 1 hypoglycemia is BG < ?
A
70
14
Q
level 2 hypoglyemia is BG < ?
A
54
15
Q
first line tx fro hypoglycemia in conscious pt
A
15-20g oral glucose
16
Q
“TIDES” =
A
GLP-1 receptor agonists
17
Q
“IDES” =
A
sulfonylureas
18
Q
“GLITAZONES” =
A
TZDs
thiazolidinediones
19
Q
“GLIPTINS”
A
DPP4 inhibitors
20
Q
“FLOZINS”
A
SGLT-2 inhibitors
21
Q
normal BMI
A
18.5-25
22
Q
overweight BMI
A
> 25-30
23
Q
obesity BMI
A
> 30
24
Q
metformin has a _______ efficacy? (low, medium, high)
A
high
25
true or false: metformin causes hypoglycemia?
FALSE
26
metformin effect on weight?
neutral
27
metformin has potential ASCVD benefits. true or false?
TRUE
28
metformin may cause B12 deficiency. true or false?
TRUE
29
SGLT-2 INHIBITORS cause hypoglycemia. true or false?
FALSE
30
SGLT-2 I's cause weight loss. true or false?
TRUE
31
canagliflozin has ASCVD benefit. true or false?
TRUE
32
3 SGLT2's have HF benefit. name them
empagliflozin
canagliflozin
dapaglifozin
33
do SGLT2's require renal dosing?
YES
| empa, cana, dapa
34
risk of Fournier's gangrene belongs to which class?
SGLT2
35
GLP-1 efficacy? (low, intermediate, high)
HIGH
36
Do GLP's cause hypoglycemia?
NO
37
what is GLPs effect on weight?
LOSS
38
GLP cost? cheap or expensive?
expensive
39
liraglutide has renal benefits? true or false?
TRUE
40
GLP1 black box warning?
thyroid cancer
41
pancreatitis is a side effect of which two meds?
GLP-1
DPP-4
"great drinkers"
42
Do DPP4s cause hypoglycemia?
NO
43
what is a significant potential SE of saxagliptin?
HF
44
are DPP4's cheap or expensive?
expensive
45
TZD's efficacy? (low, intermediate, high)
HIGH
46
do TZDs cause hypoglycemia?
NO
47
TZD effect on weight?
GAIN
48
which TZD has potential ASCVD benefit?
pioglitazone
49
True or false. Pioglitazone is cheap
TRUE
50
TZDs are known for which significant SE?
HF
51
risk of bone fractures, bladder CA & increased LDL are associated with which class of meds?
TZDs
52
sulfonylureas efficacy? (low, med, high)
HIGH
53
do sulfons cause hypoglycemia?
YES
54
sulfons effect on weight?
GAIN
55
the FDA released a special warning for increased RF CV mortality for which class of drugs?
Sulfons
56
insulin effect on weight?
GAIN
57
______ doses of insulin are required when GFR decreases?
LOWER
58
70/30 insulin =
NPH/REG
59
50/50 insulin =
NPH/REG
60
Humalog 50/50
NPL/humalog
| neutral protamine lispro/insulin lispro Humalog
61
Humalog mix 75/25
NPL/humalog
62
Novolog 70/30
NPA/novolog
| neutral protamine aspart/insulin aspart Novolog
63
LANTUS (glargine) concentration
U100
64
TOUJEO (glargine) concentration
U300
65
LEVEMIR (detemir) concentration
U100
66
TRESIBA (degludec) concentration
U100 & U200
67
Fast acting insulin nemonic
no "LAG" time
* lispro (humalog)
* aspart (novolog)
* glulisine (apidra)
68
long acting insulin nemonic
L-L-L
* long acting
* levemir
* lantus
69
intermediate insulin nemonic
"I" for inter/Isophane
70
ultra long acting insulin nemonic
"U" for ultra/ deglUddec
71
pt on basal and prandial insulin regimen. they have an elevated fasting glucose. what do you do?
increase the evening dose of basal insulin (NPH)
72
pt on basal and prandial insulin regimen has an elevated pre-lunch glucose. what do you do?
increase the AM dose of prandial insulin (regular/rapid-acting)
73
pt on basal and prandial insulin regimen has an elevated pre dinner glucose. what do you do?
increase the AM dose of basal insulin (NPH)
74
pt on basal and prandial insulin regimen has an elevated HS glucose. what do you do?
increase evening prandial dose
75
split mixed insulin regimen total daily dose on initation?
0.6u/kg
76
split mixed insulin regimen usually means using which two insulins together?
NPH & regular/rapid
77
basal/bolus insulin regime is the most _________
physiologic & complex
78
hypoglycemia treatment. 3 or 4 _______
glucose tabs
79
hypoglycemia treatment. 1 serving _____ gel
glucose (15gm sugar)
80
hypoglycemia tx. 1/2 c ______
fruit juice, soda
81
hypoglycemia tx. 1c _____
milk
82
hypolgycemia tx. 5-6 peices ______
hard candy
83
hypoglycemia tx. 1 tbsp _______
sugar or honey
84
hypoglycemia tx for ACARBOSE/MIGLITOL
MUST BE PURE glucose. (tab or gel). must be easily absorbed in mouth because
body will slow glucose absorption
85
pregnant DM fasting glu goal?
<95
86
pregnant DM 1h post prandial goal?
<140
87
pregnant DM 2h post prandial goal?
<120
88
overweight BMI in Asian population?
23
89
you obtain a lipid profile and place pt on therapy... when do you recheck labs?
4-12w
90
you change your pts statin dose... when do you recheck labs?
4-12w
