NAPLEX diabetes
test used to identify patients who still produce insulin - Answer-C peptide
examples of macrovascular disease - Answer-coronary artery disease, cerebrovascular disease,
peripheral artery disease
which group has a higher risk of DM with a lower BMI - Answer-Asian Americans
Pre diabetes dx criteria - Answer-fasting glucose 100-125; 2 hr plasma glucose (75g) 140-199; or A1c 5.7-
6.4%
Diabetes criteria for diagnosis - Answer-symptoms plus random glucose > 200; fasting > 126; 2 hour
OGTT > 200 or A1c > 6.5%
meds that can increase blood glucose - Answer-atypical antipsych, azoles (posa), beta agonists, BB
(carvedilol, propranolol), cough syrup, cyclosporine, FK, sirolimus, Diazoxide, interferon alfa, niacin,
octreotide, protease inhib, quinolones, steroids, thiazides, loops
drugs that lower blood glucose - Answer-linezolid, lorcaserin (Belviq), Octreotide (with Type 1),
pentamidine, propranolol and non-selective BB, Quinine, quinolones
Gestational diabetes goals - Answer-preprandial < 95; 1 hour post < 140, 2 hours post < 120
,Pregestational diabetes goals - Answer-A1c < 6%, preprandial 60-99, peak post-prandial 100-129
goal waist circumference - Answer-< 35 inches female; < 40 inches male
goal fiber intake - Answer-14 grams per 1,000 kcal; 25 g for females and 38 g for males
who should get aspirin therapy as primary prevention - Answer-males > 50 and females > 60 with at
least 1 additional factor (HTN, CVD, family hx, smoking, etc)
what should be used if patient has aspirin allergy - Answer-clopidogrel 75mg
benefit of ACEI and ARBs - Answer-delay progression to diabetic nephropathy in those with albuminuria
when do patients qualify for high intensity statin - Answer-<40 years with overt CVD or >40 year with
CVD risk factors or overt CVD
vaccinations indicated for diabetic patients - Answer-Hep B if unvaccinated between 19-59; influenza,
pneumococcal; Tetanus if due
ADA guidelines - Answer-< 7%, preprandial 80-130; peak post-prandial < 180
AACE guidelines - Answer-< 6.5%, preprandial < 110, peak post-prandial < 140
when should initial therapy contain two drugs - Answer-A1c >/= 9
when should initial therapy include insulin - Answer-A1c > 10 or BG > 300
, at one point should an additional agent be added - Answer-A1c not at goal after 3 months
which three drug regimens are not recommended - Answer-metformin + DPP4 + GLP1 or metformin +
SGLT2 + GLP1
medications with only moderate efficacy - Answer-DPP4 inhib, SGLT2 inhib, pramlintide
moderate risk of hypoglycemia - Answer-SU adn meglitinides
drugs that can cause weight loss - Answer-GLP1 agonists, SGLT2 inhib, primlintide
drugs that cause weight gain - Answer-insulin, SUs, meglitinides, TZDs
which medications increase insulin secretion - Answer-SUs and Meglitinides
how does metformin work - Answer-decreases hepatic glucose production, decreases glucose
absorption, and increases sensitivity
when is metformin CI - Answer-Scr > 1.5 in males, > 1.4 in females
Metaglip - Answer-metformin and glipizide
Glucovance - Answer-metformin and glyburide
Actoplus Met - Answer-pioglitazone and metformin
test used to identify patients who still produce insulin - Answer-C peptide
examples of macrovascular disease - Answer-coronary artery disease, cerebrovascular disease,
peripheral artery disease
which group has a higher risk of DM with a lower BMI - Answer-Asian Americans
Pre diabetes dx criteria - Answer-fasting glucose 100-125; 2 hr plasma glucose (75g) 140-199; or A1c 5.7-
6.4%
Diabetes criteria for diagnosis - Answer-symptoms plus random glucose > 200; fasting > 126; 2 hour
OGTT > 200 or A1c > 6.5%
meds that can increase blood glucose - Answer-atypical antipsych, azoles (posa), beta agonists, BB
(carvedilol, propranolol), cough syrup, cyclosporine, FK, sirolimus, Diazoxide, interferon alfa, niacin,
octreotide, protease inhib, quinolones, steroids, thiazides, loops
drugs that lower blood glucose - Answer-linezolid, lorcaserin (Belviq), Octreotide (with Type 1),
pentamidine, propranolol and non-selective BB, Quinine, quinolones
Gestational diabetes goals - Answer-preprandial < 95; 1 hour post < 140, 2 hours post < 120
,Pregestational diabetes goals - Answer-A1c < 6%, preprandial 60-99, peak post-prandial 100-129
goal waist circumference - Answer-< 35 inches female; < 40 inches male
goal fiber intake - Answer-14 grams per 1,000 kcal; 25 g for females and 38 g for males
who should get aspirin therapy as primary prevention - Answer-males > 50 and females > 60 with at
least 1 additional factor (HTN, CVD, family hx, smoking, etc)
what should be used if patient has aspirin allergy - Answer-clopidogrel 75mg
benefit of ACEI and ARBs - Answer-delay progression to diabetic nephropathy in those with albuminuria
when do patients qualify for high intensity statin - Answer-<40 years with overt CVD or >40 year with
CVD risk factors or overt CVD
vaccinations indicated for diabetic patients - Answer-Hep B if unvaccinated between 19-59; influenza,
pneumococcal; Tetanus if due
ADA guidelines - Answer-< 7%, preprandial 80-130; peak post-prandial < 180
AACE guidelines - Answer-< 6.5%, preprandial < 110, peak post-prandial < 140
when should initial therapy contain two drugs - Answer-A1c >/= 9
when should initial therapy include insulin - Answer-A1c > 10 or BG > 300
, at one point should an additional agent be added - Answer-A1c not at goal after 3 months
which three drug regimens are not recommended - Answer-metformin + DPP4 + GLP1 or metformin +
SGLT2 + GLP1
medications with only moderate efficacy - Answer-DPP4 inhib, SGLT2 inhib, pramlintide
moderate risk of hypoglycemia - Answer-SU adn meglitinides
drugs that can cause weight loss - Answer-GLP1 agonists, SGLT2 inhib, primlintide
drugs that cause weight gain - Answer-insulin, SUs, meglitinides, TZDs
which medications increase insulin secretion - Answer-SUs and Meglitinides
how does metformin work - Answer-decreases hepatic glucose production, decreases glucose
absorption, and increases sensitivity
when is metformin CI - Answer-Scr > 1.5 in males, > 1.4 in females
Metaglip - Answer-metformin and glipizide
Glucovance - Answer-metformin and glyburide
Actoplus Met - Answer-pioglitazone and metformin
