Pot Pourri
Name a local endocrinologists in Windsor
Who are --Dr Nour, Wilson, Shaban, Necleau,
Riazundin, Treki, Abouhassen, Dr. Parahar
White bread, sticky rice, white rice, corn flakes.
What are grains and starches with high glycemic index (70 or more)?
This drug is 1st line therapy for T2DM.
What is metformin?
Drugs with highest risk of hypoglycemia (name at least one).
What is glyburide, gliclazide, rapaglinide, or insulin?
If no risk factors for T2DM, screen at this age and XX years. (assume no symptoms)
What is age > or = 40 years and every 3 years?
Name of the Diabetes management Tool in PSS
What is Diabetes clinical practice guideline.
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 % of the population cannot truly tolerate metformin therapy.
What is 5%?
The longest acting insulin available in Canada
What is icodec (Awiqli)? {once weekly injection}
A1C can vary by this % based on lab variability.
What is +/- 0.3%?
Blood Pressure target for Diabetes (in office and at home).
What is BP < 130/80? (both in office and at home)
Phone number to provide patients regarding diabetes education.
What is 1-800-BANTING (226-8464)?
This drug class is associated with: 1. Improved postprandial control; 2. Well tolerated in older adults; 3. Neutral CVD outcomes
What are the DPP4 inhibitors?
These injections for T2DM have evidence for cardiovascular protection. (name 3 drugs)
What are dulaglutide (Trulicity), liraglutide (Victoza) semaglutide (Ozempic)?
Dysglycemia category: A1C 6.0% - 6.4%
What is prediabetes?
Screen for this every 3-5 years for age > 40 or earlier if diabetes complications such as chest pain.
What is ECG?
Drugs to avoid in women with diabetes planning pregnancy. (3 main classes)
What are non-insulin antihyperglycemic agents (except metformin and/or glyburide), statins, ACEI/ARB.
Cost ~$7 per tablet per day, has weight loss properties, cardiovascular neutral, has to be taken on an empty stomach with maximum of 120mL of water.
What is oral semaglutide (Rybelsus)?
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
A patient with diabetes and cardiovascular disease (e.g., cardiac ischemia, peripheral arterial disease, cerebrovascular/carotid disease) should be on these 3 classes of drugs which do not lower blood glucose.
What is Statin, ACEi/ARB and ASA? (DC 2021 guideline)
Drug options to quit smoking (2 Rx, 2 different types of OTCs)
What is varenicline (Champix), bupropion (Zyban or Wellbutrin XL), nicotine replacement therapy.
DC recommends these drugs for chronic kidney disease (5 classes).
What is finerenone (Kerendia), SGLT2i, statin, ACEI/ARB, GLP1 RA?
Contraindications to GLP-1 Receptor Agonists (e.g., semaglutide). (name 4)
What are personal or family history of medullary thyroid carcinoma (MTC), personal hx of Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), pregnancy and breastfeeding.
Screen for this at diagnosis and every 1-2 years.
What is retinopathy?