with complete solution
Which of the following statements about TD's treatment needs is true, based on
the information provided?
TD is meeting the A1C goals recommended by the American Diabetes
Association and the American Association of Clinical Endocrinologists.
TD is receiving appropriate treatment for her hypertension.
TD is a candidate for statin therapy.
TD has an LDL treatment goal of <180 mg/dL.
TD is a candidate for statin therapy.
Which of the following options represents recommended initial therapy for TD,
based on current treatment algorithms?
Lifestyle modification alone.
Metformin plus lifestyle modification.
A sulfonylurea plus lifestyle modification.
Basal insulin.
Metformin plus lifestyle modification.
TD agrees to have a foot exam and monofilament test. What is the minimum
number of sites that should be tested on each of TD's feet?
One.
Two
Four.
Eight.
Four.
TD begins treatment with metformin and the dosage is titrated to 850 mg twice
daily. She also meets with a dietitian and agrees to perform self-monitoring of
blood glucose (SMBG) to obtain a three-point profile. TD obtains the following
results:
Fasting Before Dinner After Dinner
Tuesday 122 100 198
Thursday 108 110 212
Saturday 109 122 240
Which of the following statements about TD's blood glucose values is true?
Her fasting blood glucose values are consistently above target.
Her pre-dinner blood glucose values are consistently above target.
Her post-dinner blood glucose values are consistently above target.
All of her blood glucose values are at or within target.
Her post-dinner blood glucose values are consistently above target.
Which of the following interventions is most likely to address the SMBG findings
in question 4?
Decrease the amount of carbohydrate consumed at dinner
Increase the metformin dosage to 1,000 mg twice daily.
Initiate basal insulin therapy.