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 glu
...
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
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