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NURS 5336-Family 3- Final Exam
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NURS 5336-Family 3- Final Exam
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NURS 5336-Family 3- Final ExamWhat is the criteria for diagnosis of type 2 diabetes?
hgba1c and fpg - ANSWER Hgb A1C of 6.5 or above
FPG of 126 and above
What is the criteria for diagnosis of pre-diabetes? - ANSWER Hgb A1C of 5.7-6.4%
FPG of 100-126
What is the criteria for a healthy individual w/o diabetes? - ANSWER Hgb A1C of
below 5.6
FPG of 99 and below
What is the best screen for diabetic nephropathy? - ANSWER Microalbuminuria
small level of protein leaking into the urine
Anything greater than 30 is abnormal (high)
True or False. You will manage your patients more so based off of their A1c rather
than their FPG. - ANSWER True
Which anti-diabetic drugs have an indication for CVD prevention? - ANSWER GLP-
1 inhibitors
SGLT-2
True or False. You will pretty much always start someone on Metformin as the first
monotherapy for someone who has a Hgb A1C of below 7.5 - ANSWER True.
You'll start them on metformin first (cheap and effective) and have them come back
in a few months to evaluate how they are doing on that med.
Most providers start their patients who have a Hgb A1C below 7.5 on metformin,
however, some may place their patients on one of what two drugs due to their
cardiovascular protective properties? - ANSWER GLP-1 inhibitors
SGLT-2
True or False. If they are not at goal in 3 months on their monotherapy, you will
advance them to dual therapy (metformin+GLP/SGLT/DPP4) - ANSWER True
If a patient comes in and their Hgb A1C is above 9 and they are non-symptomatic,
what are you going to put them on? - ANSWER Dual therapy
or
Triple therapy
If a patient comes in and their Hgb A1C is above 9 and they are symptomatic, what
are you going to put them on? - ANSWER Insulin (most preferably, long-acting. not
short acting).
They'll most likely be on the insulin for about a month, and then come back to see if
they can be weaned down to PO therapy.
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