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CMN572 > things to memorize > Flashcards

things to memorize Flashcards

1
Q

pts with DM1 should also be screened for which two autoimmune disorders?

A
  • thyroid disease

* celiac

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2
Q

Prediabetes FPG?

A

100+

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3
Q

diabetes FPG?

A

126+

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4
Q

prediabetes A1C?

A

5.7+

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5
Q

diabetes A1C?

A

6.5+

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6
Q

prediabetes 2h OGTT?

A

140+

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7
Q

diabetes 2h OGTT?

A

200+

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8
Q

random plasma glucose dx for DM?

A

200+

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9
Q

for pts with DM and cognitive impairment we want to tailor their med regimen to avoid???

A

hypoglycemia

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10
Q

A1C target nonpreg adults w DM

A

< 7

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11
Q

preprandial BG for nonpreg adults w DM

A

80-130

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12
Q

PEAK postprandial BG for nongpreg adults w DM

A

< 180

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13
Q

level 1 hypoglycemia is BG < ?

A

70

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14
Q

level 2 hypoglyemia is BG < ?

A

54

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15
Q

first line tx fro hypoglycemia in conscious pt

A

15-20g oral glucose

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16
Q

“TIDES” =

A

GLP-1 receptor agonists

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17
Q

“IDES” =

A

sulfonylureas

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18
Q

“GLITAZONES” =

A

TZDs

thiazolidinediones

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19
Q

“GLIPTINS”

A

DPP4 inhibitors

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20
Q

“FLOZINS”

A

SGLT-2 inhibitors

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21
Q

normal BMI

A

18.5-25

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22
Q

overweight BMI

A

> 25-30

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23
Q

obesity BMI

A

> 30

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24
Q

metformin has a _______ efficacy? (low, medium, high)

A

high

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25
Q

true or false: metformin causes hypoglycemia?

A

FALSE

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26
Q

metformin effect on weight?

A

neutral

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27
Q

metformin has potential ASCVD benefits. true or false?

A

TRUE

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28
Q

metformin may cause B12 deficiency. true or false?

A

TRUE

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29
Q

SGLT-2 INHIBITORS cause hypoglycemia. true or false?

A

FALSE

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30
Q

SGLT-2 I’s cause weight loss. true or false?

A

TRUE

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31
Q

canagliflozin has ASCVD benefit. true or false?

A

TRUE

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32
Q

3 SGLT2’s have HF benefit. name them

A

empagliflozin
canagliflozin
dapaglifozin

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33
Q

do SGLT2’s require renal dosing?

A

YES

empa, cana, dapa

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34
Q

risk of Fournier’s gangrene belongs to which class?

A

SGLT2

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35
Q

GLP-1 efficacy? (low, intermediate, high)

A

HIGH

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36
Q

Do GLP’s cause hypoglycemia?

A

NO

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37
Q

what is GLPs effect on weight?

A

LOSS

38
Q

GLP cost? cheap or expensive?

A

expensive

39
Q

liraglutide has renal benefits? true or false?

A

TRUE

40
Q

GLP1 black box warning?

A

thyroid cancer

41
Q

pancreatitis is a side effect of which two meds?

A

GLP-1
DPP-4
“great drinkers”

42
Q

Do DPP4s cause hypoglycemia?

A

NO

43
Q

what is a significant potential SE of saxagliptin?

A

HF

44
Q

are DPP4’s cheap or expensive?

A

expensive

45
Q

TZD’s efficacy? (low, intermediate, high)

A

HIGH

46
Q

do TZDs cause hypoglycemia?

A

NO

47
Q

TZD effect on weight?

A

GAIN

48
Q

which TZD has potential ASCVD benefit?

A

pioglitazone

49
Q

True or false. Pioglitazone is cheap

A

TRUE

50
Q

TZDs are known for which significant SE?

A

HF

51
Q

risk of bone fractures, bladder CA & increased LDL are associated with which class of meds?

A

TZDs

52
Q

sulfonylureas efficacy? (low, med, high)

A

HIGH

53
Q

do sulfons cause hypoglycemia?

A

YES

54
Q

sulfons effect on weight?

A

GAIN

55
Q

the FDA released a special warning for increased RF CV mortality for which class of drugs?

A

Sulfons

56
Q

insulin effect on weight?

A

GAIN

57
Q

______ doses of insulin are required when GFR decreases?

A

LOWER

58
Q

70/30 insulin =

A

NPH/REG

59
Q

50/50 insulin =

A

NPH/REG

60
Q

Humalog 50/50

A

NPL/humalog

neutral protamine lispro/insulin lispro Humalog

61
Q

Humalog mix 75/25

A

NPL/humalog

62
Q

Novolog 70/30

A

NPA/novolog

neutral protamine aspart/insulin aspart Novolog

63
Q

LANTUS (glargine) concentration

A

U100

64
Q

TOUJEO (glargine) concentration

A

U300

65
Q

LEVEMIR (detemir) concentration

A

U100

66
Q

TRESIBA (degludec) concentration

A

U100 & U200

67
Q

Fast acting insulin nemonic

A

no “LAG” time

  • lispro (humalog)
  • aspart (novolog)
  • glulisine (apidra)
68
Q

long acting insulin nemonic

A

L-L-L

  • long acting
  • levemir
  • lantus
69
Q

intermediate insulin nemonic

A

“I” for inter/Isophane

70
Q

ultra long acting insulin nemonic

A

“U” for ultra/ deglUddec

71
Q

pt on basal and prandial insulin regimen. they have an elevated fasting glucose. what do you do?

A

increase the evening dose of basal insulin (NPH)

72
Q

pt on basal and prandial insulin regimen has an elevated pre-lunch glucose. what do you do?

A

increase the AM dose of prandial insulin (regular/rapid-acting)

73
Q

pt on basal and prandial insulin regimen has an elevated pre dinner glucose. what do you do?

A

increase the AM dose of basal insulin (NPH)

74
Q

pt on basal and prandial insulin regimen has an elevated HS glucose. what do you do?

A

increase evening prandial dose

75
Q

split mixed insulin regimen total daily dose on initation?

A

0.6u/kg

76
Q

split mixed insulin regimen usually means using which two insulins together?

A

NPH & regular/rapid

77
Q

basal/bolus insulin regime is the most _________

A

physiologic & complex

78
Q

hypoglycemia treatment. 3 or 4 _______

A

glucose tabs

79
Q

hypoglycemia treatment. 1 serving _____ gel

A

glucose (15gm sugar)

80
Q

hypoglycemia tx. 1/2 c ______

A

fruit juice, soda

81
Q

hypoglycemia tx. 1c _____

A

milk

82
Q

hypolgycemia tx. 5-6 peices ______

A

hard candy

83
Q

hypoglycemia tx. 1 tbsp _______

A

sugar or honey

84
Q

hypoglycemia tx for ACARBOSE/MIGLITOL

A

MUST BE PURE glucose. (tab or gel). must be easily absorbed in mouth because
body will slow glucose absorption

85
Q

pregnant DM fasting glu goal?

A

<95

86
Q

pregnant DM 1h post prandial goal?

A

<140

87
Q

pregnant DM 2h post prandial goal?

A

<120

88
Q

overweight BMI in Asian population?

A

23

89
Q

you obtain a lipid profile and place pt on therapy… when do you recheck labs?

A

4-12w

90
Q

you change your pts statin dose… when do you recheck labs?

A

4-12w

CMN572 (13 decks)

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