Take a pill, man
I have to Inject that?
Side effects
Complications
Hodge Podge
100
This is the first line agent for all Type 2 Diabetes Mellitus.
What is metformin?
100
This insulin onsets within 15 minutes and is cleared completely by 2 hours.
What is rapid acting insulin (NovoRapid, Humalog, Apidra)?
100
Two agents that cause hypoglycemia.
What are insulin and sulfonylureas (gliclazide lowest risk)? 
100
Tight glycemic control reduces the risk of these complications.
What are microvascular complications (retinopathy, nephropathy, neuropathy)
100
The target HbA1c for most patients.
What is < 7.0%
200
This second line class of agents gives the most relative glucose lowering.
What are SGLT-2 inhibitors?
200
The peak timing of action for regular (Toronto) insulin.
What is 2-3 hours?
200
These agents can lead to postural hypotension especially when used in combination with diuretics.
What are SGLT-2 inhibitors?
200
This is the target blood pressure for most patients with diabetes.
What is < 130/80?
200
The ideal time to reaching glycemic control targets.
What is 3-6 months?
300
A commonly used class of oral agents that leads to weight gain.
What are sulfonylureas?
300
This insulin has no peak in action.
What is Lantus?

What is Levemir?

What is Tujeo (glargine 300)

300
One of three classes of oral agents that can cause GI upset upon initiation.
What is metformin?

What are incretins (ILG-1 receptor antagonists & DPP-4 inhibitors)?

What is acarbose?


300
Five issues other than glycemic control that should be routinely assessed in all patients with diabetes.
What are blood pressure control, dyslipidemia, retinopathy, neuropathy/diabetic foot infections, nephropathy (microalbuminuria)?
300
The diagnosis with a HbA1c between 6.0 and 6.5%.
What is pre-diabetes?
400
This class of agents is rarely used anymore because of post-marketing evidence of increased heart failure and bladder cancer among others.
What are TZDs (glitazones)?
400
A simple test to assess if cognition is adequate to administer insulin.
What is the clock drawing test?
400
This oral agent can worsen but not cause lactic acidosis.
What is metformin?
400
This is the most important (non-antihyperglycemic agent) for vascular protection in patients with diabetes.
What is a statin?
400
This agent has been re-branded and approved in Canada for use as a weight loss agent.
What is liraglutide?

Victosa 1.2mg for DM2, Saxenda 3mg for weight loss

500
The only DPP-4 inhibitor that does not need to be dose reduced for a decreased GFR.
What is linagliptin (Trajenta)?
500
One of two recommended insulin regimens for frail elderly patients.
What is basal insulin alone?

What is mixed insulin?

500
This pneumonic helps patients manage their medications when they are sick with an intercurrent illness and at risk of becoming dehydrated.
What is SAD MANS?


sulphonylureas, ACE-I, diuretics & direct renin inhibitors, metformin, ARBs, NSAIDs, SGLT-2

500

One of two agents with proven cardiac benefit.

What is liraglutide (Victosa)?

What is empagliflozin (Jardiance)?

500
The HbA1C level above which insulin should be started as an initial agent.
What is - there is no level?  Insulin should be started if symptomatic AND metabolic decompensation.
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