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Diabetes

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jennifer12345's version from 2018-12-13 17:49

Section 1

Question Answer
Criteria for diagnosis diabetesFPG > 126 OR 2 hr PG > 200 OR A1C > 6.5
Criteria for diagnosis pre-diabetesFPG 100-125 OR 2 hr PG 140-199 OR A1C 5.7-6.4
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Section 2

Question Answer
Medications if pt with CAD and DMACE inhibitor, aspirin, and statin
Avoid the following in patients with symptomatic heart failurethiazolidinedione
Continue to use the following in patients with a prior MIbeta blockers for at least 2 years
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Section 3

Question Answer
Goal blood glucose level pre-meal70-120
Goal blood glucose two hours after a mealless than 180
Goal blood glucose prior to bed100-140
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Section 4

Question Answer
Preferred initial treatment for type 2 diabetes metformin and lifestyle changes
Best starter drug for overweight/obese people with type 2 diabetesmetformin (biguanides)
Possible starter drug in thin patients, difficult to distinguish type 1 versus type 2glyburide, glipizide, glimpiride (sulfonylureas)
stimulate pancreatic insulin secretion, good choice if renal dysfunction or sulfa allergyrepaglinide, nateglinide (meglitinides)
Add this med in addition to metformin/sulfonylurea, increases secretion insulinexentide, liraglutide, albiglutide (glucagon-like peptide 1 agonists)
Block glucose reabsorption in the proximal renal tubulecanagliflozin, dapagliflozin (sodium glucose cotransporter 2 inhibitors)
enhance tissue sensitivity to insulin, but cause weight gain and fluid retentionrosiglitazone, pioglitazone (thiazolidinediones)
slow digestion of carbs, useful for high post prandial readings, limited impact on A1Cacarbose, miglitol (alpha-glucosidase inhibitors)
commonly used as 2nd or 3rd agent. inhibit degradation of incretinssitagliptin, saxagliptin, linagliptin (DPP4 inhibitors)
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Section 5

Question Answer
Avoid if liver dysfunctionrepaglinide, nateglinide (meglitinides)
Low risk of developing hypoglycemia, but risk of ketoacidosiscanagliflozin, dapagliflozin (sodium glucose cotransporter 2 inhibitors)
Contraindicated in liver disease and heart failurerosiglitazone, pioglitazone (thiazolidinediones)
Contraindicated in GI disordersacarbose, miglitol (alpha-glucosidase inhibitors)
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