36 Questions
What is the classification of LR based on the initial HbA1c of 5.9% and FBG of 110 mg/dl?
Prediabetes
For LR, what is the recommended follow-up period after an HbA1c of 7.8% and FBG of 150 mg/dl is detected?
1 year
In the case of LR, what treatment would be appropriate if the GFR is 96 mL/min/1.73m²?
Consider starting metformin
What is the recommended follow-up strategy for LR if HbA1c is 8% and BMI is 32 kg/m²?
Modify lifestyle and dietary habits
If LR's GFR decreases to 40 ml/min/1.73m², what treatment adjustment should be considered?
Discontinue metformin
What is the appropriate recommendation for MG based on the provided information?
No treatment change needed
Which patient is at the highest risk for developing cardiovascular disease based on their ASCVD 10-year risk?
GS
Which patient would benefit from starting on an SGLT2 inhibitor to address their comorbidity?
2.4 ML
Which patient is at the highest risk for developing proteinuria based on their ACR?
2.4 ML
Which patient has the highest HbA1c level and may require more aggressive glucose-lowering therapy?
2.4 ML
Which patient has the highest triglyceride level and may require lipid-lowering therapy?
2.4 ML
Which patient has the lowest LDL level and may not require immediate lipid-lowering therapy?
LM
Which patient has both Type 2 Diabetes Mellitus (T2DM) and Heart Failure (HF)?
BH
Which patient has a BMI greater than 30 kg/m2 and newly diagnosed T2DM?
GS
Which patient has a history of Myocardial Infarction (MI)?
2.4 ML
Which patient has a current HbA1c level of 8.3%?
2.4 ML
Which patient has a current medication of Entresto?
BH
Which patient has a current medication of atorvastatin?
2.4 ML
What is the initial classification of LR based on her HbA1c and FBG levels?
Normal
How would you classify LR after one year, based on her HbA1c and FBG levels?
Diabetic
What is the recommended treatment for LR when her GFR is 96 mL/min/1.73m2?
Metformin
What would you recommend for MG, who presents with a HbA1c of 7.2% and a GFR of 88 mL/min/1.73m2?
Intensify metformin therapy
What would you recommend for LR, who returns three years later with a HbA1c of 8% and a BMI of 32 kg/m2?
Add an SGLT2 inhibitor
What treatment adjustment should be considered for LR if her GFR decreases to 40 ml/min/1.73m2?
Discontinue metformin
Case 3 BH is 53 years old.
True
Case 4 2.4 ML is a 65-year-old Hispanic female.
False
Case 5 LM has a history of Type 2 Diabetes Mellitus.
True
Case 3 BH has a BMI of 27 kg/m2.
False
Case 4 2.4 ML has a GFR of 34 mL/min/1.73m2.
True
Case 5 LM is on self-pay insurance.
True
LR is a 52-year-old female who presents to the clinic for her physical.
True
LR's HbA1c level was 5.9% during her first visit to the clinic.
True
LR's FBG level was 110 mg/dl during her first visit to the clinic.
True
LR returned one year later with an HbA1c of 7.8% and an FBG of 150 mg/dl.
False
LR's GFR was 68 mL/min/1.73m² during her third-year follow-up visit.
True
MG, a 43-year-old female, had a HbA1c of 7.2% during her clinic visit.
True
Test your knowledge on non-insulin therapies with cases presented by Andrea Levin, PharmD, CPh, BCACP from Nova Southeastern University College of Pharmacy. Analyze patient cases, lab results, and classification of diabetes to determine appropriate follow-up actions.
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