SUGARY BLOOD

FINDING SUGARY BLOOD

100

How often should you be screening for diabetes?

+40yrs A1c/FBG q3yrs

200

What are the macrovascular and microvascular complications of diabetes?

Macrovascular - CAD, CVA, PAD

Microvascular - Nephropathy, neuropathy, retinopathy

300

What are the symptoms of diabetes?

P's - polyuria, polyphagia, polydipsia

Weight loss

Abdominal pain

Acanthosis nigricans

400

Name 7 RFs of diabetes

• Age >40
• FHx of DM (primary)
• Aboriginal, African, Asian,     Hispanic, South Asian descent 
• Hx of pre-DM
• GDM or macrosomia 
• Presence of end organ damage     (macro - CAD, CVA, PVD, ED. Micro - nephropathy, retinopathy, neuropathy)
• Presence of vascular risk     factors - metabolic syndrome - HDL = 1.7, obesity, HTN, abdominal obesity,     smoking
• Presence of associated dz -     PCOS, OSA, psychiatric dz (depression, anxiety, bipolar), HIV,     pancreatitis, gout
• Drugs associated with DM -     steroids, atypical antipsychotics, antiretroviral tx 

500

You've discovered diabetes in a patient, what should you be checking? e.g. A1c q3m

A1c
BP - <130/80
Lipids
ECG q3-5yrs
Neuropathy - 10g monofilament
Nephropathy - ACR
Retinopathy q1yr

SUPER SUGARY BLOOD

100

What do you need for a DKA diagnosis?

Glucose >14
Ketones in urine or blood
<7.3pH

<15 bicarb
>12 AG

200

What are the three general management principles of DKA/HHS?

Fluids

Potassium

Insulin

300

DKA patient with fluids running. Potassium comes back at 3.9. What is your next step?

Begin insulin treatment with supplemental K.

Regular insulin 0.1U/kg/hr and potassium chloride 20mEq with every liter of fluid

400

What is the end point of DKA treatment?

2/3

Normalize AG (<12)

Bicarbonate >15mmol/L

pH >7.3

500

I's of Hyper/Hypoglycemia

•Insulin – non adherent or improper use

•Infection – PNA and UTI MC

•Ischemia/infraction – MI, CVA, mesenteric ischemia

•Inflammation – pancreatitis

•Intoxication – alcohol

•Iatrogenic – thyroid meds, glucocorticoids

ANTI SUGARY BLOOD

100

What is the class of metformin?

Biguanide

200

What are lifestyle interventions that patient's should follow?

Exercise
•150 minutes of vigorous exercise per week with no more than 2 consecutive days without exercise
•Strength training 2-3/week

Diet
•Dietitian referral recommended
•Mediterranean diet – decrease CVD risk
•DASH diet – decrease HTN

300

Your patient becomes sick, what drugs should they avoid?

SADMANS - SU, ACE, Diuretics, Metformin, ARB, NSAIDs, SGLT2

400

What is the treatment of hypoglycemia?

Conscious - 15g simple carbohydrates
Unconscious - glucagon 1mg (no IV) or 50mL of 50% dextrose (IV)

500

What are the classes of empagliflozin, gliclazide, semaglutide, and sitagliptin? In order.

Empagliflozin - SGLT2

Gliclazide - SU

Semaglutide - GLP1

Sitagliptin - DPP4

SUGARY BLOOD CREATOR

100

Striped and fresh. If big enough would be a dope cane. 

Candy cane

200

Nutty cups, killer of some. What am I?

Reese's cup

300

Muwah! One is never enough. What am I?

Hershey's Kisses

400

I'm so bad I'll make your blood boil. What am I?

Black licorice

500

What is Anson's favorite candy?

GUMMY BEARS