Non-Insulin Therapies: Cases Andrea Levin PharmD Quiz
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Questions and Answers

What is the classification of LR based on the initial HbA1c of 5.9% and FBG of 110 mg/dl?

  • Normal glucose tolerance
  • Type 2 diabetes
  • Prediabetes (correct)
  • Type 1 diabetes

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 (correct)
  • 6 months
  • 2 years
  • 3 years

In the case of LR, what treatment would be appropriate if the GFR is 96 mL/min/1.73m²?

  • Start insulin therapy
  • Increase metformin dose
  • Initiate GLP-1 receptor agonist
  • Consider starting metformin (correct)

What is the recommended follow-up strategy for LR if HbA1c is 8% and BMI is 32 kg/m²?

<p>Modify lifestyle and dietary habits (D)</p> Signup and view all the answers

If LR's GFR decreases to 40 ml/min/1.73m², what treatment adjustment should be considered?

<p>Discontinue metformin (D)</p> Signup and view all the answers

What is the appropriate recommendation for MG based on the provided information?

<p>No treatment change needed (B)</p> Signup and view all the answers

Which patient is at the highest risk for developing cardiovascular disease based on their ASCVD 10-year risk?

<p>GS (B)</p> Signup and view all the answers

Which patient would benefit from starting on an SGLT2 inhibitor to address their comorbidity?

<p>2.4 ML (B)</p> Signup and view all the answers

Which patient is at the highest risk for developing proteinuria based on their ACR?

<p>2.4 ML (C)</p> Signup and view all the answers

Which patient has the highest HbA1c level and may require more aggressive glucose-lowering therapy?

<p>2.4 ML (B)</p> Signup and view all the answers

Which patient has the highest triglyceride level and may require lipid-lowering therapy?

<p>2.4 ML (C)</p> Signup and view all the answers

Which patient has the lowest LDL level and may not require immediate lipid-lowering therapy?

<p>LM (B)</p> Signup and view all the answers

Which patient has both Type 2 Diabetes Mellitus (T2DM) and Heart Failure (HF)?

<p>BH (B)</p> Signup and view all the answers

Which patient has a BMI greater than 30 kg/m2 and newly diagnosed T2DM?

<p>GS (D)</p> Signup and view all the answers

Which patient has a history of Myocardial Infarction (MI)?

<p>2.4 ML (C)</p> Signup and view all the answers

Which patient has a current HbA1c level of 8.3%?

<p>2.4 ML (A)</p> Signup and view all the answers

Which patient has a current medication of Entresto?

<p>BH (D)</p> Signup and view all the answers

Which patient has a current medication of atorvastatin?

<p>2.4 ML (A)</p> Signup and view all the answers

What is the initial classification of LR based on her HbA1c and FBG levels?

<p>Normal (D)</p> Signup and view all the answers

How would you classify LR after one year, based on her HbA1c and FBG levels?

<p>Diabetic (C)</p> Signup and view all the answers

What is the recommended treatment for LR when her GFR is 96 mL/min/1.73m2?

<p>Metformin (B)</p> Signup and view all the answers

What would you recommend for MG, who presents with a HbA1c of 7.2% and a GFR of 88 mL/min/1.73m2?

<p>Intensify metformin therapy (B)</p> Signup and view all the answers

What would you recommend for LR, who returns three years later with a HbA1c of 8% and a BMI of 32 kg/m2?

<p>Add an SGLT2 inhibitor (B)</p> Signup and view all the answers

What treatment adjustment should be considered for LR if her GFR decreases to 40 ml/min/1.73m2?

<p>Discontinue metformin (D)</p> Signup and view all the answers

Case 3 BH is 53 years old.

<p>True (A)</p> Signup and view all the answers

Case 4 2.4 ML is a 65-year-old Hispanic female.

<p>False (B)</p> Signup and view all the answers

Case 5 LM has a history of Type 2 Diabetes Mellitus.

<p>True (A)</p> Signup and view all the answers

Case 3 BH has a BMI of 27 kg/m2.

<p>False (B)</p> Signup and view all the answers

Case 4 2.4 ML has a GFR of 34 mL/min/1.73m2.

<p>True (A)</p> Signup and view all the answers

Case 5 LM is on self-pay insurance.

<p>True (A)</p> Signup and view all the answers

LR is a 52-year-old female who presents to the clinic for her physical.

<p>True (A)</p> Signup and view all the answers

LR's HbA1c level was 5.9% during her first visit to the clinic.

<p>True (A)</p> Signup and view all the answers

LR's FBG level was 110 mg/dl during her first visit to the clinic.

<p>True (A)</p> Signup and view all the answers

LR returned one year later with an HbA1c of 7.8% and an FBG of 150 mg/dl.

<p>False (B)</p> Signup and view all the answers

LR's GFR was 68 mL/min/1.73m² during her third-year follow-up visit.

<p>True (A)</p> Signup and view all the answers

MG, a 43-year-old female, had a HbA1c of 7.2% during her clinic visit.

<p>True (A)</p> Signup and view all the answers

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