NAPLEX Diabetes Questions with 100%
Correct Answers
A1C goal for DM
less than 7%
preprandial blood glucose goal for DM
80-130 mg/dL
Peak postprandial glucose goal in DM
<180 mg/dL
Drugs that can lower glucose
beta blockers, quinolones, linezolid, lorcaserin, pentamide
*can also raise
Drugs that can raise glucose
beta blockers, thiazides, Loops, immunosuppressants (tacrolimus, cyclosporine), ~~~niacin, PIs~~~,
quinolones, atypical antipsychotics, statins, systemic steroids
If A1C is above _______, may start with dual therapy
8.5%
If A1c is 10% or above consider starting
insulin
If initiating dual therapy and the patient has ASCVD, choose one of the following:
GLP1: liraglutided, semaglutide, exenatide
SGLT2: empagliflozin, canagliflozin
If initiating dual therapy and the patient has HF or CKD, choose one of the following:
empagliflozin or canagliflozin
if those are not tolerated then use GLP1 (lira-, sem-, or exana-)
If initiating dual therapy and the patient has no ASCVD, HF, or CKD consider (three things and their
meds):
1. minimize hypoglycemia: DPP-4, GLP1, SGLT2, or TZD
2. weight loss: GLP or SGLT2
3. cost: SU or TZD
Three drug combinations that are not recommended
insulin with SU or meglitindies
Combo injectable therapy
, basal insulin and either a GLP-1 or mealtime insulin
Drugs that lower hepatic glucose output
metformin
Drugs that raise or replace insulin secretion
insulin, sulfonylureas, meglitinides
Drugs that slow gastric emptying
GLP-1, pramlintide
Drugs that raise glucose excretion
SGLT 2 inhibitors
Drugs that increase insulin sensitivity
metformin, TZDs
metformin & glipizide
Metaglip
metformin & glyburide
Glucovance
metformin & pioglitazone
Actoplus Met, Actoplus Met XR
metformin/alogliptin
Kazano
metformin/linagliptin
Jentadueto
metformin/sitagliptin
Janumet, Janumet XR
metformin/saxagliptin
Kombiglyze XR
metformin/canagliflozin
Invokamet
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.09. You're not tied to anything after your purchase.
