Diagnosis, Treatment, and
Management Key Points
What is the next step for a patient with A1C of 6.6% and no symptoms? -
ANSWER✅✅✅Repeat A1C or fasting glucose
What fasting glucose level is diagnostic of diabetes? -ANSWER✅✅✅126 mg/dL
Which A1C level defines prediabetes? -ANSWER✅✅✅5.7-6.4%
What is the first-line medication for type 2 diabetes? -ANSWER✅✅✅Metformin
When should metformin not be used? -ANSWER✅✅✅When eGFR is <30
Which medication would benefit a patient with type 2 diabetes and heart failure? -
ANSWER✅✅✅SGLT2 inhibitor
What medication should a patient with ASCVD and diabetes receive? -
ANSWER✅✅✅GLP-1 receptor agonist
Which diabetes medication has the highest risk of hypoglycemia? -
ANSWER✅✅✅Sulfonylurea
When should insulin be considered in type 2 diabetes? -ANSWER✅✅✅A1C >10%
What is the initial treatment for Type 1 diabetes? -ANSWER✅✅✅Basal-bolus insulin
What is the ADA A1C goal for most adults? -ANSWER✅✅✅<7%
What is a reasonable A1C goal for older adults with multiple comorbidities? -
ANSWER✅✅✅<8%
What factors should influence individualized glycemic targets? -ANSWER✅✅✅All of
the above (Age, Hypoglycemia risk, Duration of diabetes)