Week 3 Flashcards
which SGLT2 inhibitors have proven HF benefits for diabetic pts?
canagliflozin
dapagliflozin
empagliflozin
ertugliflozin
what is the treatment goal for pts with diabetes and CKD?
use ACEi/ARB and SGLT2i with CKD benefits (cana, dapa, empa) or GLP-1 RA with CVD benefits if cannot use SGLT2i (dula, lira, sema)
what is the treatment goal for pts with diabetes and ASCVD?
high intensity statin: rosuv or atorv
aspirin
GLP-1 or SGLT2: cana or empa or SGLT2i with proven VCD benefit: cana or empa
which GLP1 meds have CVD benefits?
dulaglutide, liraglutide, and semaglutide
for treating T2DM with insulin, how much basal insulin should be used?
10u/day
Which of the following is a rapid-acting insulin injection?
a. Tresiba
b. Toujeo
c. Humalog
d. Levemir
c
Which of the following is a rapid-acting insulin injection?
a. Glulisine
b. Basaglar
c. Toujeo
d. Novolin
a
Which of the following is a rapid-acting insulin injection?
a. Humulin
b. Lantus
c. Semglee
d. Novolog
d
Which of the following is a long-acting insulin injection?
a. Novolin
b. NPH
c. Humalog
d. Novolog
b
Which of the following is a long-acting insulin injection?
a. Levemir
b. Humulin
c. Humalog
d. Novolin
a
Which of the following is a long-acting insulin injection?
a. Glulisine
b. Lantus/Basaglar
c. Novolin
d. Novolog
b
Which of the following is a long-acting insulin injection?
a. Novolin
b. Novolog
c. Glulisine
d. Toujeo
d
Which of the following is a long-acting insulin injection?
a. Glulisine
b. Humalog
c. Tresiba
d. Novolin
c
what are symptoms of hypoglycemia?
shaking
sweating
anxious
dizziness
hunger
fast heartbeat
impaired vision
weakness
headache
irritable
define diabetes distress
reaction related to emotional burdens and worries of having to manage their diabetes
which diabetic pts are at a high risk of ASCVD?
patients over 55 with 2 or more risks which are: obesity, HTN, smoking, hyperlipidemia, CKD, or albuminuria
what is the top treatment for glycemic management?
second?
third?
fourth?
Metformin
Dulaglutide, semaglutide, tirzepatide, insulin
liraglutide, exenatide, lixisenatide, SGLT2is, sulfonylureas, TZD (glitazones)
DPP-4is (gliptins)
If A1C is above goal: identify the barriers….
Diabetes self-management education and support (DSMES) referral
Technology: continuous glucose monitor (CGM)
identify and address pts social determinants of health
when do we start insulin for T2DM?
what is the initial recommended treatment?
if cannot achieve A1C goals or it is over 10%
combo GLP-1 or GLP-1 + GIP before starting insulin (like Mounjaro)
what vitamin can become deficient with long-term use of Metformin?
vit B12
what is a concerning SE with TZDs? they are contraindicated in pts with what condition?
weight gain
HF
what is the BBW for SGLT2is?
amputations
what diabetic med should be avoided in CKD?
glyburide
what is first line therapy for diabetic peripheral neuropathy pain?
gabapentinoids, SNRIs, and TCAs (amitriptyline)
what is a procedural treatment for retinopathy?
intravitreous treatment?
panretinal laser photocoagulation
anti-VEGF, maybe corticosteroids
