Insulin
Starting dose for basal insulin (units or weight based).
What is 5-10 units or 0.1-0.2 units/kg?
Exercise recommendations/goal for most individuals with diabetes (aerobic and anaerobic).
What is at least 150 minutes of moderate to vigorous intensity aerobic exercise each week (e.g. 30 minutes, 5 days a week) and resistance exercises like lifting weights 2-3 times a week?
This drug is now generic and cheapest "flozin" on the market.
What is dapagliflozin?
Diabetes drugs that cause weight gain (name 1 class)
What are sulfonylureas, TZDs, or insulin?
Diagnosis of T2DM using 2hPG in 75g OGTT in mmol/L (cutoff value).
What is > or = 11.1 mmol/L?
A basal insulin given once weekly.
What is icodec (Awiqli)?
Two examples to treat hypoglycemia from Diabetes Canada website.
What are 15g of glucose in the form of glucose tablets, 1 tbsp honey, 1 tbsp sugar in water, 2/3 cup of juice or regular soft drink, 6 lifesavers, or 2 rolls Rocket Candy?
The maximum dose of metformin recommended per day when eGFR = 40mL/min.
What is 1000mg/d?
Highest weight loss and A1C reduction, given once weekly.
What is tirzepatide (Mounjaro)?
4 risk factors that can falsely increase A1C
What are iron, B12, folate deficiency; alcohol use disorder, chronic opioid use?
Prandial insulin with fastest onset of 4 minutes.
What is Aspart (Fiasp)?
Phone number to provide patients regarding diabetes education.
What is 1-800-BANTING (226-8464)?
This DPP4i does not need to be adjusted for poor renal function (e.g., eGFR = 20mL/min).
What are the linagliptin (Trajenta)?
Avoid these drugs when eGFR < 15 or on dialysis (3 drugs in 3 different classes)
What are metformin, saxagliptin, sulfonylureas/secretagogues ?
Diabetes Canada recommendations to determine when to screen for type 2 diabetes in women with hx of GDM. (3 different timeframes)
What is 6 weeks to 6 months after giving birth, when planning another pregnancy and every 3 years (or more depending on risk factors)? https://www.diabetes.ca/en-CA/about-diabetes/gestational/screening-diagnosis
Name of injection technique for daily or multi-dose injections of insulin.
What is "Forum for Injection Technique" (FIT)?
4 risk factors considered very high risk and MUST NOT fast during Ramadan.
What are poorly controlled T2DM (A1C>9%), severe hypoglycemia, ketoacidosis/hyperosmolar hyperglycemic coma, acute illness, advanced macrovascular complications, renal disease (dialysis, severe stage IV or V), cognitive dysfunction, uncontrolled epilepsy, pregnancy on insulin?
Name 4 drugs that have evidence for reduction of major adverse cardiovascular events (MACE).
What are oral semaglutide (Rybelsus), SC semaglutide, liraglutide, dulaglutide, SGLT2i (empa, dapa, cana)?
Starting insulin is recommended when patient has symptomatic hyperglycemia/metabolic decompensation or when A1C or blood glucose is above this value.
What is A1C > 10% or BG > or = 16.7mmol/L? {REF: CEP T2DM insulin tool}
Name of test for patients to test their risk of diabetes.
What is CANRISK? https://www.healthycanadians.gc.ca/en/canrisk
Two prescriptions used to treat hypoglycemia.
What is Baqsimi or GlucaGen (glucagon)?
Ontario Drug Benefit (ODB) pays for XX # of test strips per year if on oral medications with no risk of hypoglycemia.
What is 200 strips per year?
Glucocorticoids, antipsychotics, thiazide diuretics, antivirals, niacin.
What are drugs that can increase blood glucose (hyperglycemia)?
ABCDESSSS in Diabetes Care
What is A1C, BP, Cholesterol, Drugs, Exercise, Screening, Smoking cessation, Self-management, and Sick Day Management
A1C, preprandial blood glucose and 2h post prandial targets for functionally dependent elderly with clinical frailty scale 4-5. (all 3)
What is A1C < 8.0%, preprandial BG 5-8mmol/L and postprandial BG < 12mmol/L?