ANSWERS FALL 2024-2025
What is the most important post-operative concern for diabetic individuals with
blood sugar levels above 200? - ANSWER: Impaired wound healing.
How many of all pregnancies are complicated by gestational diabetes? -
ANSWER 1-14 percent
Gestational diabetes increases a woman's risk of having what type of diabetes
later in life? - Answer T2D
There are three major components of culturally competent care: patient
concerns, health beliefs/perspectives, and a mutually acceptable treatment plan.
The ACCORD trial discovered no significant improvement to blood pressure
outcomes by adding which drug? - ANSWER: Fenofibrate
In the ACCORD experiment, what was the difference in health outcomes
between the intensive and control groups? - ANSWER Total and nonfatal stroke
rates were lower in the intense group.
For patients with T1/T2 diabetes and an elevated risk of CVD, aspirin therapy
with 75-162mg daily should be explored.
What increases a patient's risk of CVD? - ANSWER: Calcula
ted 10-year risk > 10%.
or
Over 50 years old with at least one main risk factor.
,(family history of early atherosclerotic cardiovascular disease, hypertension,
smoking, dyslipidemia, or albuminuria over 30)
Blood pressure goal for pregnant lady with chronic hypertension/diabetes? -
ANSWER: 120--105.
Which GLP-1 agonists are dosed once weekly? - ANSWER: Dulaglutide
(Trulicity), Semaglutide (Ozempic), Exenatide (Byetta).
Which GLP-1 agonist is administered once per day? - ANSWER: Liraglutide
(victoza).
Diabetic foot ulcers are produced by frequent mild pressure through ADLs such
as walking.
What other ailment is commonly related with diabetes? - ANSWER Cystic
Fibrosis (20% of teenagers and 40-50% of adults have diabetes).
What frequent procedure opens clogged coronary artery arteries to increase
blood flow to the heart? - ANSWER Percutaneous transluminal coronary
angioplasty (PTCA)
What typical technique involves grafting to enhance blood flow to the heart? -
Answer: CABG (Coronary Artery Bypass Surgery)
Aspects of the empowerment perspective - ANSWER Offering skill training
Providing constant support and encouragement
Understanding and starting from the patient's standpoint.
Limitations of A1C - ANSWER: Provides no information about intra-day
glucose excursions, glycemic variability, or time in range.
- Untrustworthy in cases of anemia, iron shortage, and pregnancy.
, For which populations are CGMs not approved? - Answer: pregnancy, dialysis,
serious illness, or diathermy.
The increase in impact may be reduced in T2D patients. This is due to reduced
ANSWER of whatever cell type to the incretin.
What about the hormones GLP-1 and GIP? - Answer B cells.
What drugs are used to treat Type 2 Diabetes and obesity? - Answer: GLP1 and
GIP (gastric inhibitory peptide).
Based on the SURMOUNT-1 data for the first-in-class dual GLP-1 and GIP
receptor agonist, what dose would you propose titrating to?
to achieve and maintain the highest average weight loss of up to 22.5% in a
patient with type 2 diabetes and obesity? - ANSWER: Once weekly dose of
15mg
ICC framework for CGM - ANSWER Identify: Right technology, right person,
right time.
Configure: Help this person utilize their CGM efficiently.
Collaborate: Patient understands data, and HCP helps them use it efficiently.
Examples of data aggregators for CGM data are ANSWER Tidepool and
Glooko.
A patient using a CGM has a TIR of 80%; what is their A1C? - ANSWER:
6.5%
What sort of learning is most effective for patients with inadequate health
literacy? - ANSWER Visual (i.e., educational videos).