Injectable Drugs for Diabetes Part 5 PDF
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Uploaded by leichnam
Emory & Henry College
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Summary
This document provides notes on injectable drugs for diabetes management. It covers topics like continuous glucose monitoring (CGM), monitoring blood glucose levels, hypoglycemia treatment, the role of glucagon, and incretin overview. The document is suitable for medical students or professionals.
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\#\#\# \*\*Slide 37: Continuous Glucose Monitoring (CGM)\*\* 1\. \*\*What is the purpose of continuous glucose monitoring (CGM) in diabetes management?\*\* \- A. To replace insulin therapy \- B. To provide real-time glucose levels and trends throughout the day \- C. To reduce the need for daily...
\#\#\# \*\*Slide 37: Continuous Glucose Monitoring (CGM)\*\* 1\. \*\*What is the purpose of continuous glucose monitoring (CGM) in diabetes management?\*\* \- A. To replace insulin therapy \- B. To provide real-time glucose levels and trends throughout the day \- C. To reduce the need for daily insulin injections \- D. To measure insulin resistance \*\*Answer:\*\* B. To provide real-time glucose levels and trends throughout the day 2\. \*\*Which parameter in CGM refers to the percentage of time that glucose levels are within the target range?\*\* \- A. Time above range (TAR) \- B. Time in range (TIR) \- C. Average daily glucose (ADG) \- D. Fasting blood glucose (FBG) \*\*Answer:\*\* B. Time in range (TIR) 3\. \*\*CGM is particularly beneficial for which patient group?\*\* \- A. Patients using multiple daily insulin injections \- B. Patients with prediabetes \- C. Patients with well-controlled type 2 diabetes on oral medications only \- D. Patients with no history of hypoglycemia \*\*Answer:\*\* A. Patients using multiple daily insulin injections \-\-- \#\#\# \*\*Slide 38: Monitoring Blood Glucose (Test Strips)\*\* 1\. \*\*What is an important consideration when ordering supplies for self-monitoring of blood glucose (SMBG)?\*\* \- A. Test strips should be compatible with the glucose meter \- B. Test strips should be used only once weekly \- C. Test strips are interchangeable between different devices \- D. Test strips should be shared among family members \*\*Answer:\*\* A. Test strips should be compatible with the glucose meter 2\. \*\*Why is it important to ensure patients have an adequate supply of test strips for SMBG?\*\* \- A. To reduce the risk of hyperglycemia \- B. To improve patient compliance and glycemic control \- C. To replace the need for insulin therapy \- D. To increase the effectiveness of oral diabetes medications \*\*Answer:\*\* B. To improve patient compliance and glycemic control 3\. \*\*Which of the following factors can affect the accuracy of blood glucose test strips?\*\* \- A. Storage temperature \- B. Frequency of use \- C. Type of insulin administered \- D. Time of day the test is performed \*\*Answer:\*\* A. Storage temperature \-\-- \#\#\# \*\*Slide 39: Hypoglycemia\*\* 1\. \*\*What is the first step in treating hypoglycemia in a diabetic patient?\*\* \- A. Administering glucagon immediately \- B. Identifying and addressing the underlying cause of hypoglycemia \- C. Increasing the insulin dose \- D. Withholding all diabetes medications \*\*Answer:\*\* B. Identifying and addressing the underlying cause of hypoglycemia 2\. \*\*Which of the following is a common cause of insulin-induced hypoglycemia?\*\* \- A. Overeating carbohydrates \- B. Skipping meals after insulin administration \- C. Performing regular exercise \- D. Taking oral diabetes medications \*\*Answer:\*\* B. Skipping meals after insulin administration 3\. \*\*In the absence of a clear cause of hypoglycemia, how should the insulin dose be adjusted?\*\* \- A. Reduce the dose by 4 units or 10-20% \- B. Increase the dose by 2 units \- C. Stop insulin therapy temporarily \- D. Switch to oral medications \*\*Answer:\*\* A. Reduce the dose by 4 units or 10-20% \-\-- \#\#\# \*\*Slide 40: Glucagon in Hypoglycemia\*\* 1\. \*\*What is the role of glucagon in the treatment of severe hypoglycemia?\*\* \- A. It stimulates the liver to release stored glucose \- B. It inhibits insulin secretion \- C. It reduces the rate of glucose absorption \- D. It increases insulin sensitivity \*\*Answer:\*\* A. It stimulates the liver to release stored glucose 2\. \*\*What is the typical onset time for glucagon\'s effect after administration?\*\* \- A. 1-2 hours \- B. 10-20 minutes \- C. 30-60 minutes \- D. 2-4 hours \*\*Answer:\*\* B. 10-20 minutes 3\. \*\*For a child under 6 years of age or weighing less than 25 kg, what is the recommended dose of glucagon for hypoglycemia?\*\* \- A. 1 mg \- B. 0.5 mg \- C. 2 mg \- D. 0.1 mg \*\*Answer:\*\* B. 0.5 mg \-\-- \#\#\# \*\*Slide 41: Glucagon Administration\*\* 1\. \*\*Glucagon can be administered via which of the following routes?\*\* \- A. Oral \- B. Intravenous (IV), intramuscular (IM), and subcutaneous (SC) \- C. Transdermal patch \- D. Inhalation \*\*Answer:\*\* B. Intravenous (IV), intramuscular (IM), and subcutaneous (SC) 2\. \*\*When is intranasal glucagon considered for use in patients with hypoglycemia?\*\* \- A. When IV access is unavailable \- B. As a routine replacement for SC glucagon \- C. Only in cases of hyperglycemia \- D. When oral glucose is not tolerated \*\*Answer:\*\* A. When IV access is unavailable 3\. \*\*If a patient does not respond to the initial dose of glucagon, when can the dose be repeated?\*\* \- A. 10 minutes later \- B. 15-20 minutes later \- C. 30 minutes later \- D. After 1 hour \*\*Answer:\*\* B. 15-20 minutes later \-\-- \#\#\# \*\*Slide 42: Incretins Overview\*\* 1\. \*\*What is the role of GLP-1 (glucagon-like peptide-1) in glucose metabolism?\*\* \- A. It stimulates insulin secretion and inhibits glucagon release \- B. It increases glucagon secretion and decreases insulin secretion \- C. It increases the absorption of glucose in the intestines \- D. It accelerates gastric emptying \*\*Answer:\*\* A. It stimulates insulin secretion and inhibits glucagon release 2\. \*\*Which enzyme breaks down GLP-1 in the body, reducing its activity?\*\* \- A. Amylase \- B. DPP-4 (dipeptidyl peptidase-4) \- C. GLP-2 \- D. Alpha-glucosidase \*\*Answer:\*\* B. DPP-4 (dipeptidyl peptidase-4) 3\. \*\*GLP-1 agonists are used in diabetes management to:\*\* \- A. Increase hepatic glucose production \- B. Decrease food intake and promote satiety \- C. Increase glucagon secretion \- D. Speed up the breakdown of insulin \*\*Answer:\*\* B. Decrease food intake and promote satiety \-\-- \#\#\# \*\*Slide 43: GLP-1 Agonists (Mechanism of Action)\*\* 1\. \*\*How do GLP-1 agonists help manage blood glucose levels in type 2 diabetes?\*\* \- A. They increase insulin secretion and decrease glucagon secretion \- B. They increase glucagon secretion and reduce insulin resistance \- C. They promote the breakdown of glycogen in the liver \- D. They reduce hepatic glucose production only \*\*Answer:\*\* A. They increase insulin secretion and decrease glucagon secretion 2\. \*\*Which of the following is a benefit of GLP-1 agonist therapy?\*\* \- A. Weight loss \- B. Weight gain \- C. Increased insulin resistance \- D. Increased triglyceride production \*\*Answer:\*\* A. Weight loss 3\. \*\*GLP-1 agonists help reduce hemoglobin A1C by approximately:\*\* \- A. 0.5% \- B. 1% \- C. 2% \- D. 3% \*\*Answer:\*\* B. 1%