Week 3

Question 1

which SGLT2 inhibitors have proven HF benefits for diabetic pts?

Answer 1

canagliflozin
dapagliflozin
empagliflozin
ertugliflozin

Question 2

what is the treatment goal for pts with diabetes and CKD?

Answer 2

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)

Question 3

what is the treatment goal for pts with diabetes and ASCVD?

Answer 3

high intensity statin: rosuv or atorv
aspirin
GLP-1 or SGLT2: cana or empa or SGLT2i with proven VCD benefit: cana or empa

Question 4

which GLP1 meds have CVD benefits?

Answer 4

dulaglutide, liraglutide, and semaglutide

Question 5

for treating T2DM with insulin, how much basal insulin should be used?

Answer 5

10u/day

Question 6

Which of the following is a rapid-acting insulin injection?
a. Tresiba
b. Toujeo
c. Humalog
d. Levemir

Answer 6

c

Question 7

Which of the following is a rapid-acting insulin injection?
a. Glulisine
b. Basaglar
c. Toujeo
d. Novolin

Answer 7

a

Question 8

Which of the following is a rapid-acting insulin injection?
a. Humulin
b. Lantus
c. Semglee
d. Novolog

Answer 8

d

Question 9

Which of the following is a long-acting insulin injection?
a. Novolin
b. NPH
c. Humalog
d. Novolog

Answer 9

b

Question 10

Which of the following is a long-acting insulin injection?
a. Levemir
b. Humulin
c. Humalog
d. Novolin

Answer 10

a

Question 11

Which of the following is a long-acting insulin injection?
a. Glulisine
b. Lantus/Basaglar
c. Novolin
d. Novolog

Answer 11

b

Question 12

Which of the following is a long-acting insulin injection?
a. Novolin
b. Novolog
c. Glulisine
d. Toujeo

Answer 12

d

Question 13

Which of the following is a long-acting insulin injection?
a. Glulisine
b. Humalog
c. Tresiba
d. Novolin

Answer 13

c

Question 14

what are symptoms of hypoglycemia?

Answer 14

shaking
sweating
anxious
dizziness
hunger
fast heartbeat
impaired vision
weakness
headache
irritable

Question 15

define diabetes distress

Answer 15

reaction related to emotional burdens and worries of having to manage their diabetes

Question 16

which diabetic pts are at a high risk of ASCVD?

Answer 16

patients over 55 with 2 or more risks which are: obesity, HTN, smoking, hyperlipidemia, CKD, or albuminuria

Question 17

what is the top treatment for glycemic management?
second?
third?
fourth?

Answer 17

Metformin
Dulaglutide, semaglutide, tirzepatide, insulin
liraglutide, exenatide, lixisenatide, SGLT2is, sulfonylureas, TZD (glitazones)
DPP-4is (gliptins)

Question 18

If A1C is above goal: identify the barriers….

Answer 18

Diabetes self-management education and support (DSMES) referral
Technology: continuous glucose monitor (CGM)
identify and address pts social determinants of health

Question 19

when do we start insulin for T2DM?
what is the initial recommended treatment?

Answer 19

if cannot achieve A1C goals or it is over 10%
combo GLP-1 or GLP-1 + GIP before starting insulin (like Mounjaro)

Question 20

what vitamin can become deficient with long-term use of Metformin?

Answer 20

vit B12

Question 21

what is a concerning SE with TZDs? they are contraindicated in pts with what condition?

Answer 21

weight gain
HF

Question 22

what is the BBW for SGLT2is?

Answer 22

amputations

Question 23

what diabetic med should be avoided in CKD?

Answer 23

glyburide

Question 24

what is first line therapy for diabetic peripheral neuropathy pain?

Answer 24

gabapentinoids, SNRIs, and TCAs (amitriptyline)

Question 25

what is a procedural treatment for retinopathy?
intravitreous treatment?

Answer 25

panretinal laser photocoagulation
anti-VEGF, maybe corticosteroids