Metformin is a primary choice of drug to treat
hyperglycemia in type 2 diabetes because it: -
....ANSWER...Decreases glycogneolysis by the liver
When blood glucose levels are difficult to control in
type 2 diabetes some form of insulin may be added
to the treatment regimen to control blood glucose
and limit complication risks. Which of the following
statements is accurate based on research?
a. Newer premixed insulins are better at lowering
HbA1C and postprandial glucose levels than long-
acting insulins.
b. Premixed insulin analogues are better at lowering
HbA1C and have less risk for hypoglycemia.
,c. Patients who are not controlled on oral agents and
have postprandial hyperglycemia can have neutral
protamine Hagedorn insulin added at bedtime.
d. Premixed insulin analogues and the newer
premixed insulins are associated with more weight
gain than the oral antidiabetic agents. -
....ANSWER...a. Newer premixed insulins are better at
lowering HbA1C and postprandial glucose levels than
long-acting insulins.
The decision may be made to switch from twice daily
neutral protamine Hagedorn (NPH) insulin to insulin
glargine to improve glycemic control throughout the
day. If this is done: - ....ANSWER...The initial dose of
glargine is reduced by 20% to avoid hypoglycemia
Prior to prescribing metformin, you as the provider
should - ....ANSWER...Draw a serum creatinine to
assess renal function
Type 2 diabetes is a complex disorder involving -
....ANSWER...a suboptimal response of insulin
sensitive tissues in the liver
,Routine screening of asymptomatic adults for
diabetes is appropriate for: - ....ANSWER...Native
americans
African americans
Hispanics
The action of "gliptins" is different from other
antidiabetic agents because they: - ....ANSWER...act
on the incretin system to indirectly increase insulin
production
GLP-1 agonists - ....ANSWER...Directly bind to a
receptor in the pancreatic beta cell
Avoid concurrent administration of exenatide with
which of the following drugs? - ....ANSWER...Digoxin,
warfarin, lovastatin
Administration of exenatide is by subcutaneous
injection: - ....ANSWER...60 minutes prior to the
morning and evening meal
Potentially fatal granulocytopenia has been
associated with treatment of hyperthyroidism with
, propylthiouracil (PTU). Patients should be taught to
report: - ....ANSWER...Fever and sore throat
Elderly patients who are started on levothyroxine for
thyroid replacement should be monitored for -
....ANSWER...tachycardia, angina
What should you teach your patients when they are
prescribed levothyroxine? - ....ANSWER...Take
medication on an empty stomach, preferably 30
minutes before breakfast
When methimazole is started for hyperthyroidism it
may take ________ to see a total reversal of
hyperthyroid symptoms. - ....ANSWER...6-12 months
In addition to methimazole, a symptomatic patient
with hyperthyroidism may need a prescription for -
....ANSWER...beta blocker
When starting a patient on levothyroxine for
hypothyroidism the patient will need follow-up
measurement of thyroid function in - ....ANSWER...4
weeks
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