Type 2 Diabetes Flashcards

1
Q

What is the first-line pharmacological treatment for Type 2 diabetes according to NICE CKS?

A

Metformin

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2
Q

True or False: Sulfonylureas are recommended as the first-line treatment for Type 2 diabetes.

A

False

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3
Q

Fill in the blank: The primary mechanism of action of Metformin is to decrease __________ production in the liver.

A

glucose

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4
Q

Which class of medications is used to stimulate insulin secretion in Type 2 diabetes?

A

Sulfonylureas

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5
Q

What is the maximum daily dose of Metformin for adults?

A

2,000 mg

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6
Q

True or False: DPP-4 inhibitors can lead to weight gain in patients with Type 2 diabetes.

A

False

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7
Q

What is the role of SGLT2 inhibitors in the management of Type 2 diabetes?

A

To promote renal glucose excretion

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8
Q

Name one common side effect of Metformin.

A

Gastrointestinal disturbances

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9
Q

What is the primary benefit of using GLP-1 receptor agonists in Type 2 diabetes treatment?

A

Weight loss

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10
Q

Which medication class is contraindicated in patients with a history of pancreatitis?

A

DPP-4 inhibitors

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11
Q

Fill in the blank: Insulin therapy may be initiated in Type 2 diabetes when __________ control is inadequate.

A

glycemic

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12
Q

What is the potential cardiovascular benefit of SGLT2 inhibitors?

A

Reduction in heart failure risk

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13
Q

True or False: Thiazolidinediones are a first-line treatment option for Type 2 diabetes.

A

False

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14
Q

Name one contraindication for using Metformin.

A

Severe renal impairment

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15
Q

What is the target HbA1c level for most adults with Type 2 diabetes?

A

Below 48 mmol/mol (6.5%)

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16
Q

Which medication class is associated with a risk of hypoglycemia?

A

Sulfonylureas

17
Q

Fill in the blank: The addition of __________ is recommended when Metformin alone is insufficient for glycemic control.

A

another antidiabetic medication

18
Q

What should be monitored regularly in patients taking Metformin?

A

Renal function

19
Q

True or False: Lifestyle changes should be encouraged alongside pharmacological management in Type 2 diabetes.

20
Q

What is one of the main actions of GLP-1 receptor agonists?

A

Increase insulin secretion in response to meals

21
Q

Which medication can be used as a second-line treatment if Metformin is not tolerated?

A

DPP-4 inhibitors

22
Q

Fill in the blank: SGLT2 inhibitors can cause __________ as a side effect.

A

genital infections

23
Q

What is the role of insulin in the management of Type 2 diabetes?

A

To lower blood glucose levels

24
Q

What is a common starting dose for DPP-4 inhibitors?

A

100 mg once daily

25
True or False: Weight loss is not a concern when prescribing antidiabetic medications.
False
26
What lifestyle modification is essential for managing Type 2 diabetes?
Dietary changes and physical activity
27
What is the function of thiazolidinediones in Type 2 diabetes management?
Improve insulin sensitivity