Who Am I
This medication is a biguanide and has a black box warning for lactic acidosis.
What is metformin?
Give the brand name for the following three SGLT-2 inhibitors: canagliflozin, dapagliflozin, and empagliflozin
What is Invokana, Farxiga, and Jardiance?
Target glucose range for ICU patients.
What is 140-180 mg/dL?
Statin recommendations for patients with T2DM.
What is patients 40-75 should be initiated on a moderate-intensity statin?
A1c cut offs for normal, prediabetes, and diabetes.
What is <5.6% (normal), 5.7-6.4% (prediabetes), and 6.5%+ (diabetes)?
This medication class can cause photosensitivity and hypoglycemia.
What are sulfonylureas?
This is the starting dose and maximum dose for semaglutide (Ozempic).
What is 0.25 mg (starting) and 2 mg (max)?
Management of insulin dosing in patients who are NPO.
What is stop bolus dosing and continue basal dosing (can also continue correctional insulin)?
Name the three microvascular complications of hyperglycemia.
What are retinopathy, nephropathy, and neuropathy?
What is 80-130 (fasting) and < 180 (post-prandial)?
This medication is the only DPP-4 inhibitor that does not require renal dose adjustement.
What is linagliptin (Tradjenta)?
Provide the brand name, dosing frequency, and starting dose for glimepiride.
T2DM non-insulin medications that should not be continued in the hospital.
What are sulfonylureas and metformin?
Name the three macrovascular complications of chronic hyperglycemia.
What are peripheral vascular disease, MI, and stroke?
Describe the rule of 15.
What is giving 15 grams of fast acting carbs if BG is below 70 mg/dL, then rechecking in 15 minutes?
This medication is the only GLP-1 agonist whose starting dose is also considered therapeutic.
What is dulaglutide (Trulicity)?
Name three unique counseling points/side effects for pioglitazone
What is weight gain, fluid retention, delayed onset of action for up to 3 months, or fracture risk in post-menopausal women?
This is the total daily dose for basal-bolus correctional order for T2DM in the hospital for patients not previously on insulin.
What is 0.4-0.6 units/kg/day?
Give two examples of neuropathy that can arise as a complication of T2DM
What are gastroparesis, peripheral neuropathy, neurogenic bladder, and sexual dysfunction?
Name the three medication options preferred in gestational diabetes.
What are metformin, glyburide, and insulin?
This medication is a type of long-acting insulin with a threonine removed at B30 and a lysine conjugated to hexadecanoic acid via gamma-L-glutamyl spacer at B29. Also forms a SQ depot.
What is insulin degludec (Tresiba)?
Provide three counseling points for administration of oral semaglutide (Rybelsus).
- Take 30 minutes prior to eating, drinking, or taking other medications
- Wait 60 minutes after dose to eat or drink
- Take in the morning
- Take with 120 mL or 4 oz of water
- Swallow whole
Overlap period for transitioning from IV to SQ insulin
What is 1-2 hours for short acting and 2-4 hours for long acting?
Name 4 screenings recommended after diagnosis of diabetes to prevent further complications.
What are eye exam, foot exam, urine studies, CMP, lipid panel, or TSH?
Titration schedule of basal insulin in T2DM patients.
What is increase by 2 units every 2 days to target a FBG of < 130 mg/dL?