NAPLEX Diabetes STUDY GUIDE
Terms in this set (162)
C-peptide What test is done to determine if a patient is still producing insulin?
Very low or absent How do you diagnose T1DM with C-peptide test?
(undetectable)
insulin (preferred; metformin What medications are preferred in diabetes in pregnancy?
and glyburide are sometimes
used)
35 years old When should patients be screened for diabetes?
,Diabetes: 6.5% or Diagnostic criteria for diabetes and prediabetes (A1c)?
higher
Prediabetes:
5.7-6.4%
Diabetes: 126 or Diagnostic criteria for diabetes and prediabetes (FPG)?
higher
Prediabetes:
100-125
Diabetes: 200 or Diagnostic criteria for diabetes and prediabetes (OGTT)?
higher
Prediabetes:
140-199
A1c: <7% Glycemic targets in diabetes (not pregnant)?
Pre-prandial: 80-130
2-hr PPG: <180
Pre-prandial: 95 or lower Glycemic targets in diabetes (pregnant)?
1- hr PPG: 140 or lower
2- hr PPG: 120 or lower
6% = 126mg/dL A1c and eAG (estimated average glucose)
Each additional 1% = 28mg/dL
<35 inches (females) What is the goal waist circumference?
<40 inches (males)
- retinopathy What are examples of microvascular complications with diabetes?
- diabetic kidney disease
(nephropathy)
- peripheral neuropathy
, - autonomic neuropathy
(gastroparesis, loss of bladder
control, erectile dysfunction)
- CAD (including MI) What are examples of macrovascular complications with diabetes?
- Cerebrovascular disease
(including stroke, CVA)
- PAD
pregabalin, duloxetine, What are some treatment options to treat peripheral neuropathy?
gabapentin
Diabetes + ASCVD When is a high-intensity statin indicated in patients with diabetes?
Age 50-75 years + multiple
ASCVD risk factors
Diabetes + age 40-75 years (no When is a moderate-intensity statin indicated in patients with diabetes?
ASCVD) Diabetes + age <40
years + ASCVD risk factors
What add on therapy can be considered for cholesterol
Ezetimibe
control in diabetic patients when the patients ASCVD 10-yr
risk >20%
What add on therapy can be considered for cholesterol
Icosapent ethyl
control in diabetic patients when the patients LDL is
controlled but TGs are 135-499mg/dL
ACE-I or ARB What medication is recommended in diabetic patients with
albuminuria?
SGLT2 inhibitor What medication is recommended in diabetic patients with
(or Finerenone in patients unable eGFR 25 or more and urine albumin 300 or more?
to take SGLT2i)
Which medications have been proven benefit at baseline
GLP-1a or SGLT2i
regardless of A1C in patients who have ASCVD, HF, or
Terms in this set (162)
C-peptide What test is done to determine if a patient is still producing insulin?
Very low or absent How do you diagnose T1DM with C-peptide test?
(undetectable)
insulin (preferred; metformin What medications are preferred in diabetes in pregnancy?
and glyburide are sometimes
used)
35 years old When should patients be screened for diabetes?
,Diabetes: 6.5% or Diagnostic criteria for diabetes and prediabetes (A1c)?
higher
Prediabetes:
5.7-6.4%
Diabetes: 126 or Diagnostic criteria for diabetes and prediabetes (FPG)?
higher
Prediabetes:
100-125
Diabetes: 200 or Diagnostic criteria for diabetes and prediabetes (OGTT)?
higher
Prediabetes:
140-199
A1c: <7% Glycemic targets in diabetes (not pregnant)?
Pre-prandial: 80-130
2-hr PPG: <180
Pre-prandial: 95 or lower Glycemic targets in diabetes (pregnant)?
1- hr PPG: 140 or lower
2- hr PPG: 120 or lower
6% = 126mg/dL A1c and eAG (estimated average glucose)
Each additional 1% = 28mg/dL
<35 inches (females) What is the goal waist circumference?
<40 inches (males)
- retinopathy What are examples of microvascular complications with diabetes?
- diabetic kidney disease
(nephropathy)
- peripheral neuropathy
, - autonomic neuropathy
(gastroparesis, loss of bladder
control, erectile dysfunction)
- CAD (including MI) What are examples of macrovascular complications with diabetes?
- Cerebrovascular disease
(including stroke, CVA)
- PAD
pregabalin, duloxetine, What are some treatment options to treat peripheral neuropathy?
gabapentin
Diabetes + ASCVD When is a high-intensity statin indicated in patients with diabetes?
Age 50-75 years + multiple
ASCVD risk factors
Diabetes + age 40-75 years (no When is a moderate-intensity statin indicated in patients with diabetes?
ASCVD) Diabetes + age <40
years + ASCVD risk factors
What add on therapy can be considered for cholesterol
Ezetimibe
control in diabetic patients when the patients ASCVD 10-yr
risk >20%
What add on therapy can be considered for cholesterol
Icosapent ethyl
control in diabetic patients when the patients LDL is
controlled but TGs are 135-499mg/dL
ACE-I or ARB What medication is recommended in diabetic patients with
albuminuria?
SGLT2 inhibitor What medication is recommended in diabetic patients with
(or Finerenone in patients unable eGFR 25 or more and urine albumin 300 or more?
to take SGLT2i)
Which medications have been proven benefit at baseline
GLP-1a or SGLT2i
regardless of A1C in patients who have ASCVD, HF, or
