C-peptide - CORRECT ANSWER-What test is done to determine if a patient is still producing insulin?
Very low or absent (undetectable) - CORRECT ANSWER-How do you diagnose T1DM with C-peptide test?
insulin (preferred; metformin and glyburide are sometimes used) - CORRECT ANSWER-What medications...
2-hr PPG: 120 or lower - CORRECT ANSWER-Glycemic targets in diabetes
(pregnant)?
6% = 126mg/dL
Each additional 1% = 28mg/dL - CORRECT ANSWER-A1c and eAG (estimated
average glucose)
<35 inches (females)
<40 inches (males) - CORRECT ANSWER-What is the goal waist circumference?
- retinopathy
- diabetic kidney disease (nephropathy)
- peripheral neuropathy
- autonomic neuropathy (gastroparesis, loss of bladder control, erectile dysfunction) -
CORRECT ANSWER-What are examples of microvascular complications with
diabetes?
- CAD (including MI)
- Cerebrovascular disease (including stroke, CVA)
- PAD - CORRECT ANSWER-What are examples of macrovascular complications with
diabetes?
pregabalin, duloxetine, gabapentin - CORRECT ANSWER-What are some treatment
options to treat peripheral neuropathy?
Diabetes + ASCVD
Age 50-75 years + multiple ASCVD risk factors - CORRECT ANSWER-When is a high-
intensity statin indicated in patients with diabetes?
, Diabetes + age 40-75 years (no ASCVD)
Diabetes + age <40 years + ASCVD risk factors - CORRECT ANSWER-When is a
moderate-intensity statin indicated in patients with diabetes?
Ezetimibe - CORRECT ANSWER-What add on therapy can be considered for
cholesterol control in diabetic patients when the patients ASCVD 10-yr risk >20%
Icosapent ethyl - CORRECT ANSWER-What add on therapy can be considered for
cholesterol control in diabetic patients when the patients LDL is controlled but TGs are
135-499mg/dL
ACE-I or ARB - CORRECT ANSWER-What medication is recommended in diabetic
patients with albuminuria?
SGLT2 inhibitor
(or Finerenone in patients unable to take SGLT2i) - CORRECT ANSWER-What
medication is recommended in diabetic patients with eGFR 25 or more and urine
albumin 300 or more?
GLP-1a or SGLT2i - CORRECT ANSWER-Which medications have been proven
benefit at baseline regardless of A1C in patients who have ASCVD, HF, or CKD?
metformin + non-insulin drug - CORRECT ANSWER-What should be done at baseline
of A1C 8.5-10%
Insulin - CORRECT ANSWER-What can be started initially if hyperglycemia is severe
(A1c >10% or BG 300 or more)?
DPP-4i, GLP-1a, SGLT2i, TZD - CORRECT ANSWER-Which antidiabetics are best for
hypoglycemic risk?
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