Hypothyroid
Medications that are associated with hypothyroidism
What are Lithium, Amiodarone, and Iodine
A TSH of < 0.3 and normal FT4 and T3 are common findings in which condition.
What is Subclinical hyperthyroidism
What is ~30 minutes before a meal
First line therapy for DM2
What is Metformin 500-1000mg PO BID
When to start DM2 on insulin
metabolic compensation, symptomatic (polyuria, polydipsia), BG > 16.7 or above target despite maximized oral therapy
In a pregnant patient with hypothyroidism, it is anticipated you will need to increase their levothyroxine by this much.
What is 30-40%
This disease accounts for 60-80% of hyperthyroidism
HbA1c should be monitored this frequently.
What is every 3-6 months
Common side effects of STLT2i
Urinary frequency, UTI, yeast infections, hypovolemia
If A1c not at target, follow up in this amount of time.
What is 1-3 months
The usual starting dose of levothyroxine.
What is 1.6-1.7 mcg/kg/day
What is MMI (methimazole) 5-10mg PO OD
A patient who is having a hypoglycemic event and is unresponsive should receive this treatment.
What is Glucagon 1mg IM/SC
Best tolerated oral antihyperglycemic, ideal in the elderly.
What are DPP4 inhibitors (gliptins)
First line therapy for gestational diabetes
Insulin (aspart, lispro)
This comorbidity requires a lower LT4 dose.
What is CVD.
Monitoring for MMI and PTU include these laboratory tests.
What is baseline TSH, CBC, LFT
CBC + LFT in one week
TSH in 4-6 weeks
Tachypnea, N/V, abdominal pain, decreased LOC are symptoms of what medical emergency?
What is Diabetic Ketoacidosis
Second line treatments for DM with CVD
What are SGLT2i (flozins ie. Jardiance) and GLP (glutides ie. Ozempic)
Lifestyle change that can improve insulin resistance
what is exercise
It is recommended to check TSH this many weeks after a dose change.
What is 6-8 weeks
Complementary therapies for hyperthyroid include these procedures.
What are radioactive iodine ablation and surgical thyroidectomy
The duration of action of rapid acting insulin
3-5 hours
Antihyperglycemics that can cause weight gain
Sulfonylureas (Gliclazide) and TZDs (pioglitazone)
Conditions affecting treatment of hypothyroidism
What are pregnancy, CVD risk, elderly, anxiety/depression