Gonna Make You Sweat (Lifestyle Modifications)
Reduction in overall intake of this macronutrient has shown the most evidence for improvement in glycemia.
What are Carbohydrates?
What is >/= 6.5%?
This is the A1c goal for many non-pregnant adults who are not experiencing significant hypoglycemia or other adverse effects.
What is 7%?
This medication decreases hepatic glucose production, decreases intestinal absorption of glucose, and improves insulin sensitivity by increasing peripheral glucose uptake and utilization. It is commonly the first agent started in people with diabetes, and should be titrated to its target dose and continued as long as possible.
The Rule of ___ describes the process for treating hypoglycemia and should be discussed with all people living with diabetes and at risk of experiencing low blood sugars.
What is 15?
The weekly amount of time (in minutes) it is recommended that people with diabetes perform moderate-vigorous intensity aerobic activity.
What is 150 minutes/week?
The FBG diagnostic of diabetes.
What is >/= 126mg/dL?
The frequency at which you check glycemic status (A1c or other measurement) for patients living with diabetes meeting goal? Not meeting goal?
When is?
Not meeting goal: quarterly (every 3 months)
Meeting goal: at least 2 times per year (every 6 months)
This is the treatment of choice (TOC) in people diagnosed with type 1 diabetes.
What is multiple daily injections of prandial (preferably rapid-acting insulin analogs) and basal insulin?
This diabetes technology should be offered to all people with diabetes on multiple daily insulin injections or continuous subcutaneous insulin infusion who are capable of using the devices safely.
What is a continuous glucose monitor (CGM) - real time vs. intermittently scanned.
Excluding nutrition and physical activity, list at least two health behaviors that should be screen regularly in people living with diabetes (i.e. situations that would warrant referral to a mental health professional).
Cognitive impairment (especially in older adults >65), anxiety, depression, fear of hypoglycemia, diabetes distress, caregiver burnout, disordered eating behaviors.
*Other answers MAY be accepted per host approval*
The random plasma glucose that is diagnostic for diabetes in patients with classic symptoms of hyperglycemia.
What is >/= 200mg/dL?
Name three common factors that play into A1c goal setting for patients (more stringent vs. less stringent).
-level of risk related to hypoglycemia or other adverse drug effects.
-Disease duration
-Life expectancy
-Other important comorbidities
-Established vascular complications
-Patient preference
-Resources and support system
These GLP-1RAs have proven CVD benefit and should be considered in people living with diabetes and clinical ASCVD.
What are dulaglutide (Trulicity), liraglutide (Victoza), and semaglutide (SQ-Ozempic)?
What are...
Hep B series
HPV series
Flu (annually)
Pneumovax (PPSV23)/PCV20/PCV15
TDAP (every 10 years, exception pregnancy)
Zoster (>/= 50 years)
In prediabetes, the weight loss goal is ________ % for preventing progression to Type 2 Diabetes.
What is 7-10%?
The A1c range indicative of prediabetes.
What is 5.7-6.4%?
The blood pressure goal for people on-treatment for hypertension and are living with diabetes (per the ADA).
What is < 130/80 mmHg?
These SGLT2 inhibitors have proven renal benefit and should be considered in people living with diabetes and CKD.
What are canagliflozin (Invokana), dapagliflozin (Farxiga), and empagliflozin (Jardiance)?
These two classes of medications have been shown to preserve beta cell function.
What are TZDs and GLP-1s?
This service is associated with improved diabetes knowledge and self-care behaviors, lower A1c, lower self-reported weight, improved quality of life, reduced all-cause mortality risk, positive coping behaviors, and reduced health care costs.
What is diabetes self-management education and support (DSMES)?
The FBG range indicative of prediabetes.
What is 100-125mg/dL?
For people with diabetes and clinical ASCVD, treatment with a high intensity statin is recommended to target an LDL reduction of 55% from baseline and an LDL cholesterol goal of _____ mg/dL.
This is the weight-based initial basal insulin dose for people with type 2 diabetes who are newly initiating insulin.
What is 0.1-0.2 units/kg per day?
Approximately ___ % of beta cell function is lost by the time the diabetes diagnosis is made.
What is 80%?