What do we adjust on pumps first?
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- fasting, start c overnight then work on the rest of the day in smaller
segments
GLP1s approved for wt loss c DM:
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"- if BMI 27+ (30+ if no DM)
- Liraglutide (Victoza), 6% wt loss
- Semaglutide (Ozempic), 10% wt loss
- Tirzepatide (Mounjaro), 15% wt loss"
How to improve sex for men c DM:
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"- affects ~50% of men c DM
- d/t combo of vascular & nerve damage
- address BG, BP, lipids & smoking
- low T easily DX'd & managed
- tx include:
- - meds
- - vacuum devices, prosthetics
- - HRT"
How much basal insulin does the pancreas release every hours?
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~0.5u/h
What are the long acting/basal insulin onset, peak & duration?
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, "- onset 1-4h
- 20-24h Glargine
- <42h Degludec (takes 3-4d to reach steady state)
* memorize pattern, not numbers!"
Objective of DSMES?
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"- support informed decision making
- self-care behaviors, problem-solving
- active collaboration c healthcare team
- improve clinical outcomes, health status & wellbeing in a cost effective
manner
Consider the burden of tx and the person's level of confidence & self-
efficacy ad well as social & famly support"
What is CKD stage 2?
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GFR 89-60
T1 autoimmune co-conditions:
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, "- hashimoto thyroiditis
- Graves dz
- celiac dz
- vitiligo
- autoimmune hepatitis, gastritis
- myasthenia gravis
- pernicious anemia
- dermatomyositis"
What issues are r/t PCOS?
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"- ""5 o'clock shadow of metabolic syndrome""
- DM, 50% c PCOS will have DM/preDM by 45yo
- HTN, ^risk
- cholesterol
- sleep apnea, ^risk if BMI 25+
- depression & anx
- endometrial CA, ^risk"
What are the goals of glycemic management?
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"- prevent complications
- optimize QOL"
What are the names of THIAZOLDINEDIONES ("-azone")?
Give this one a try later!
Give this one a try later!
- fasting, start c overnight then work on the rest of the day in smaller
segments
GLP1s approved for wt loss c DM:
,Give this one a try later!
"- if BMI 27+ (30+ if no DM)
- Liraglutide (Victoza), 6% wt loss
- Semaglutide (Ozempic), 10% wt loss
- Tirzepatide (Mounjaro), 15% wt loss"
How to improve sex for men c DM:
Give this one a try later!
"- affects ~50% of men c DM
- d/t combo of vascular & nerve damage
- address BG, BP, lipids & smoking
- low T easily DX'd & managed
- tx include:
- - meds
- - vacuum devices, prosthetics
- - HRT"
How much basal insulin does the pancreas release every hours?
Give this one a try later!
~0.5u/h
What are the long acting/basal insulin onset, peak & duration?
Give this one a try later!
, "- onset 1-4h
- 20-24h Glargine
- <42h Degludec (takes 3-4d to reach steady state)
* memorize pattern, not numbers!"
Objective of DSMES?
Give this one a try later!
"- support informed decision making
- self-care behaviors, problem-solving
- active collaboration c healthcare team
- improve clinical outcomes, health status & wellbeing in a cost effective
manner
Consider the burden of tx and the person's level of confidence & self-
efficacy ad well as social & famly support"
What is CKD stage 2?
Give this one a try later!
GFR 89-60
T1 autoimmune co-conditions:
Give this one a try later!
, "- hashimoto thyroiditis
- Graves dz
- celiac dz
- vitiligo
- autoimmune hepatitis, gastritis
- myasthenia gravis
- pernicious anemia
- dermatomyositis"
What issues are r/t PCOS?
Give this one a try later!
"- ""5 o'clock shadow of metabolic syndrome""
- DM, 50% c PCOS will have DM/preDM by 45yo
- HTN, ^risk
- cholesterol
- sleep apnea, ^risk if BMI 25+
- depression & anx
- endometrial CA, ^risk"
What are the goals of glycemic management?
Give this one a try later!
"- prevent complications
- optimize QOL"
What are the names of THIAZOLDINEDIONES ("-azone")?
Give this one a try later!
