Types of Insulin | Studying in the Laboratory | This is getting complicated | Pharmacologic Middle Management | Diabetes is the Theme |
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What is short acting insulin?
Bonus: Novolog, Humalog, Apidra,
Duration: 3 - 5 hours.
Peak: 30 - 90 minutes. Bonus: name one. |
What is hemoglobin A1C?
This lab value is the gold-standard for evaluating average blood glucose control over 3-4 months.
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What is diabetic retinopathy?
Common presentations include: floaters, decreased visual acuity, blurry vision.
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What is metformin?
First line therapy for DM2.
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What is Diabetic Ketoacidosis (DKA)?
Caused by the breakdown of fatty tissues in the absence of insulin.
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What is long acting insulin?
Bonus: Lantus, Levemir, Tresiba
Duration: 11 - 26 hours.
Peak: none, steady. Bonus: name one. |
What is POC/fingerstick glucose?
This test can be performed rapidly with a glucometer.
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What is diabetic neuropathy?
Common presentations include: numbness or paresthesia of extremities, especially of feet.
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What are sulfonylureas?
Cautious use in renal impairment. Stimulates insulin secretion from pancreas.
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What is diabetes mellitus type one
An autoimmune condition caused by destruction of beta cells in the pancreas.
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What is short acting insulin?
Bonus: Regular (R), novolin
Duration: 5 - 8 hours.
Peak: 2 - 5 hours. Bonus: name one. |
What is total cholesterol?
In addition to blood pressure control, a goal of diabetes management is to keep this bloodwork value under 200 mg/dL.
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What are stroke and myocardial infarction?
Poor glycemic control increases risk for these two emergent events.
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What are glucagon-like peptide 1 agonists?
Slows gastric emptying and increases satiety. Used in DM2, off-label use in DM1.
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What is diabetes mellitus type two?
A condition caused by impaired insulin secretion and insulin resistance.
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What is intermediate acting insulin?
Bonus: NPH (N)
Duration: 18 - 24 hours.
Peak: 4 - 12 hours. Bonus: name one. |
What is C-peptide?
Evaluates magnitude of endogenous insulin production by measuring serum levels of a byproduct of a specific hormones synthesis...
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What is diabetic nephropathy?
Common presentation includes: decreased GFR, hypertension, albuminuria.
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What are meglitinides?
Stimulates insulin secretion from the pancreas. Safe-ish to use in moderate renal impairment. Short half-life.
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What is gestational diabetes?
Condition which increases risk of pre-eclampsia, large for gestational age, stillbirth, and neonatal hypoglycemia.
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What is intermediate acting and short acting insulin?
Pre-mixed insulin combinations are most often composed of which two classes of insulin?
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What is anion gap?
The equation for determining this value is: [Na] - ( [Cl] + [HCO3] ).
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What is gastroparesis?
Common presentations include: nausea, indigestion, bloating, early satiety, heartburn, and regurgitation.
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What are SGLT-2 inhibitors
Lower threshold for renal glucose excretion. Increased risk of candidal infections.
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What is diabetes insipidus?
A condition caused by inadequate action of anti-diuretic hormone.
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