ANCC FNP Boards Study Guide: Updated Solution

Type 2 Diabetes (Ans- insulin resistance Screening for Type 2 Diabetes (Ans- every 3 years starting at age 45 A1C for Type 2 Diabetes (Ans- > 6.5% FPG for Type 2 Diabetes (Ans- > 126 2 hour plasma glucose for Type 2 Diabetes (Ans- > 200 Random glucose for Type 2 Diabetes (Ans- > 200 A1C for Prediabetes (Ans- 5.7-6.4% 1st drug or choice for Type 2 Diabetes (Ans- Metformin Contraindication for Metformin (Ans- liver cirrhosis or alcohol use disorder; increased serum creatinine Two most common side effects of Metformin (Ans- Diarrhea and Flatulence 4 Meds for All Diabetics (Ans- Aspirin, Metformin, BP, and Statin Target BG after eating (Ans- < 180 Fasting BG Target (Ans- 70-130 Biguanides (Ans- Metformin (Glucophage) Sulfonylureas (-ide) (Ans- Secrete insulin; can cause hypoglycemia and wt gain; for pt's on a fixed budget (-Ride Price) DPP-4 inhibitors (-gliptin) (Ans- Reduces A1C by 0.7% GLP-1 agonists (-tide) (Ans- Helps ppl lose weight (-Tide of the wt); Not for fixed budget When should you consider basal insulin? (Ans- A1C > 9% & Fasting glucose > 250 Basal insulin (Lantus) (Ans- Once a day at the same time NPH insulin (Humulin N, Novolin N) (Ans- Lasts from breakfast to dinner; Covers the postprandial spike after lunch Regular insulin (Humulin R, Novolin R) (Ans- Lasts from meal to meal Rapid-acting insulin (Humalog- Lispro) (Ans- Covers one meal at a time