Endocrine Advanced Practise.

Endocrine Advanced Practise.A 38 year-old male patient, thought to be in good health, presents to a primary care clinic. On routine exam the patient's fasting blood sugar is 242 mg/dl. A repeat value after eating is 288 mg/dL. Which of the following is least helpful in the initial evaluation of this patient? - answerNon-fasting lipids riglycerides are especially sensitive to non-fasting states and will give an abnormally elevated value if performed in a non-fasting patient. Since triglycerides are frequently elevated in patients with elevated glucose levels, a fasting level should be performed. Initially, a blood pressure, fasting lipids, and microalbuminuria are critical to assessing this patient's diabetic status. Initial labs on diabetic newly ex new patient fasting 242 repeat after eating 288 perform - answerblood pressure AIC fasting lipids microalbuminuria microalbuminuria - answerHeavy exercise, elevated glucose levels, infection, and others can produce false positive microalbuminuria. The ideal time for microalbuminuria to be repeated is 3-6 months after the first abnormal measurement. This gives some time for glucose values to improve and can help rule out false positive results. 300 initiation and adjustment of insulin therapy If patient weights 127kg - answerintermediate or long-acting insulin should be started at bedtime or morning as a once daily dosage. A prudent starting dose is either 10 units insulin or 0.2 units per kilogram (approximately 25 units of insulin). A patient presents with consistently elevated blood glucose before his evening meal. What choice below represents an insulin change that would improve his evening glucose? Current regimen: AM: 22u intermediate-acting insulin, 12u short-acting insulin PM: 10u intermediate-acting insulin, 8u short-acting insulin - answerincrease morning Intermediate Acting Insulin to 24 units check before supper glucose for 3 days until at goal and asymptotic An 80 year-old patient who is overweight and sedentary has developed elevated, fasting glucose levels (142, 153, and 147 mg/dL). She was diagnosed with diabetes today. Considering her age, how should the nurse practitioner proceed - answerStart metformin 500 mg daily Type II diabetes is diagnosed after - answerrandom fasting glucose 126 mg/dL and confirmed on a subsequent day. random blood glucose 200 mg/dL with