Neuropathy Assessment with 10-Gram Monofilament

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16 Questions

What is one of the treatment goals for patients with diabetes?

Help patients achieve optimal weight

When should pharmacologic treatment for weight loss be considered according to FDA recommendations?

BMI = 27 with concomitant diseases/risk factors like diabetes or hypertension

What is a standard of care monitoring parameter for patients with diabetes at every visit?

Blood pressure goal

What is a key aspect of differentiating between OTC medications and supplements available for weight loss?

MOA and efficacies

Which type of insulin works fast and can be flexible with mealtime?

Insulin lispro-aabc (Lyumjev)

What is a key characteristic of interchangeable biosimilars?

They are highly similar with no clinically meaningful difference to the reference product.

Which wearable delivery device offers preset basal rates and on-demand bolus dosing?

Valeritas V-Go

When converting from NPH insulin, what is the recommended adjustment for switching to long-acting insulin?

Increase the daily dose by 20%.

How is neuropathy diagnosed using a 10-gram monofilament?

If the patient cannot feel the monofilament at any site on either foot

What action should be taken to check the posterior tibial artery when examining pedal pulses?

Use the pad of index & middle fingers on the big toe side behind the ankle

According to the provided information, what characteristic would place a patient in the low-risk category for diabetic foot ulcer?

Intact protective sensation and present pedal pulses

What is a key principle of good foot hygiene that should be incorporated into daily activities for diabetic patients?

Protective sensation in feet

Why is it recommended to avoid sitting with legs crossed?

To prevent pressure on certain nerves

What should diabetic patients avoid using to prevent dryness or cracks on their feet?

Keratolytic topical agents

Why should diabetic patients not self-treat large calluses or cracks on their feet?

To avoid complications

What is the recommended action to take if feet become soft or tender?

Rub with alcohol

Learn how to assess neuropathy using a 10-gram monofilament by testing for sensation on different areas of the foot. Understand the procedure involving pressing the filament against the skin and diagnosing neuropathy based on the patient's response.

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