Management of Diabetes: Non-Insulin Therapies Quiz
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Questions and Answers

Which type of diabetes is generally diagnosed in children, teens, or young adults?

  • Type 1 diabetes (correct)
  • Type 2 diabetes
  • Gestational diabetes
  • None of the above
  • What is a significant difference between Type 1 and Type 2 diabetes?

  • Genetic component
  • Age at diagnosis (correct)
  • Diagnosis during pregnancy
  • Race of individuals affected
  • When is Gestational diabetes typically diagnosed?

  • During the first trimester
  • Between weeks 24-28 of pregnancy (correct)
  • Immediately postpartum
  • During labor and delivery
  • Which factor does NOT contribute to an increased risk of Gestational diabetes?

    <p>White race</p> Signup and view all the answers

    What percentage of the US population aged 65 years or older have prediabetes?

    <p>27.2%</p> Signup and view all the answers

    Which one of the following abbreviations is associated with a class of medications that include empagliflozin?

    <p>SGLT2i</p> Signup and view all the answers

    What technology is commonly abbreviated as SMBG in diabetes management?

    <p>Self Monitoring Blood Glucose</p> Signup and view all the answers

    Which abbreviation represents a serious safety concern that is indicated on prescription drug labels to alert prescribers to potentially severe side effects?

    <p>BBW</p> Signup and view all the answers

    Which abbreviation is commonly used in diabetes management to refer to a parameter indicating average blood glucose levels over the past 2-3 months?

    <p>HbA1c</p> Signup and view all the answers

    Which abbreviation may refer to a condition known as hyperglycemia resulting from a deficiency of insulin?

    <p>T1DM</p> Signup and view all the answers

    In diabetes management, which abbreviation is used to denote a class of oral medications that work by increasing the release of insulin from the pancreas?

    <p>SU</p> Signup and view all the answers

    What is the recommended age to begin diabetes testing for all patients?

    <p>35 years</p> Signup and view all the answers

    Which of the following criteria is NOT considered a risk factor for diabetes testing according to the text?

    <p>High HDL cholesterol level</p> Signup and view all the answers

    In the ADA criteria, what level of FPG is classified as prediabetes?

    <p>100-125 mg/dL</p> Signup and view all the answers

    Which of the following is NOT a component of T2DM diagnosis based on the text?

    <p>HbA1c &lt;5.7%</p> Signup and view all the answers

    Which manifestation is associated with insulin resistance as mentioned in the text?

    <p>Acanthosis nigricans</p> Signup and view all the answers

    According to ADA, what should be the interval for diabetes testing if results are normal?

    <p>3-yearly</p> Signup and view all the answers

    Which medication class decreases HbA1c by approximately 0.5-1% as monotherapy?

    <p>SGLT2 inhibitors</p> Signup and view all the answers

    Which SGLT2 inhibitor is dosed between 100-300 mg before the first main meal?

    <p>Canagliflozin</p> Signup and view all the answers

    In patients with high risk for ulcerations, how often should foot examinations be performed?

    <p>Every visit</p> Signup and view all the answers

    Which class of medication is NOT recommended to be combined with DPP4 inhibitors?

    <p>GLP1 RAs</p> Signup and view all the answers

    What is the recommended interval for an annual dilated eye exam in diabetic patients?

    <p>Annually</p> Signup and view all the answers

    Which vaccine is NOT included in the standard diabetes care immunization schedule?

    <p>COVID-19</p> Signup and view all the answers

    What factor should be considered in decision making according to the summary of the medical care standards in diabetes-2019?

    <p>Patient related factors</p> Signup and view all the answers

    Which organization published the IDF Diabetes Atlas, 10th edition in 2019?

    <p>International Diabetes Federation</p> Signup and view all the answers

    In which journal was the article 'Semaglutide and cardiovascular outcomes in patients with type 2 diabetes' published in 2016?

    <p>N Engl J Med</p> Signup and view all the answers

    According to the provided content, what is one of the suggested strategies for diabetes therapy?

    <p>Goal setting</p> Signup and view all the answers

    From where can the National Diabetes Statistics Report, 2020 be accessed?

    <p>CDC website</p> Signup and view all the answers

    Which agent among the following has NOT been associated with cardiovascular outcomes in patients with type 2 diabetes?

    <p>Lantus</p> Signup and view all the answers

    Study Notes

    Diabetes Types and Diagnosis

    • Type 1 diabetes is typically diagnosed in children, teens, or young adults.
    • Significant difference: Type 1 diabetes results from an autoimmune attack on insulin-producing cells, while Type 2 diabetes is characterized by insulin resistance.
    • Gestational diabetes is usually diagnosed during pregnancy, typically around the 24th to 28th week.
    • Risk factors for Gestational diabetes include obesity, but being over 40 years of age does not contribute to an increased risk.

    Prevalence and Statistics

    • Approximately 34% of the U.S. population aged 65 years or older have prediabetes.

    Medications and Abbreviations

    • SGLT2 (Sodium-Glucose Co-Transporter 2) is associated with medications such as empagliflozin.
    • SMBG stands for Self-Monitoring of Blood Glucose.
    • REMS (Risk Evaluation and Mitigation Strategy) indicates serious safety concerns on prescription drug labels.
    • A1C is commonly used to indicate average blood glucose levels over the past 2-3 months.
    • DKA (Diabetic Ketoacidosis) refers to hyperglycemia resulting from insulin deficiency.
    • SU (Sulfonylureas) denotes oral medications that increase insulin release from the pancreas.

    Diabetes Testing and Risk Factors

    • Recommended age to begin diabetes testing for all patients is 45 years.
    • Family history is NOT considered a risk factor for testing.
    • FPG (Fasting Plasma Glucose) level of 100-125 mg/dL is classified as prediabetes.
    • A family history of Type 1 diabetes is NOT a component of Type 2 diabetes mellitus (T2DM) diagnosis.

    Clinical Guidelines

    • Insulin resistance can manifest as acanthosis nigricans.
    • If diabetes test results are normal, retesting should occur every 3 years according to ADA guidelines.
    • Metformin decreases HbA1c by approximately 0.5-1% as monotherapy.
    • Canagliflozin is an SGLT2 inhibitor dosed between 100-300 mg before the first main meal.

    Monitoring and Recommendations

    • Foot examinations for patients at high risk for ulcerations should occur every 3-6 months.
    • DPP4 inhibitors are NOT recommended to be combined with GLP-1 receptor agonists.
    • An annual dilated eye exam for diabetic patients is recommended.

    Vaccinations and Considerations

    • Hepatitis A vaccine is NOT included in the standard diabetes care immunization schedule.
    • Consider individual circumstances in decision-making regarding diabetes management.

    Publications and Resources

    • The IDF Diabetes Atlas, 10th edition was published by the International Diabetes Federation.
    • The article on semaglutide and cardiovascular outcomes was published in the New England Journal of Medicine in 2016.
    • Suggested strategies for diabetes therapy include individualized care plans.
    • The National Diabetes Statistics Report, 2020 is accessible via the CDC website.
    • Gliclazide has NOT been associated with cardiovascular outcomes in patients with Type 2 diabetes.

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    Description

    Test your knowledge on managing diabetes with non-insulin therapies taught by Andrea Levin, PharmD, CPh, BCACP from Nova Southeastern University College of Pharmacy. This quiz covers abbreviations used in diabetes management like T1DM, T2DM, ADA, AACE, HbA1c, BG, FPG, and more.

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