Prior to prescribing metformin the provider should Draw a serum creatinine to

Prior to prescribing metformin the provider should

This preview shows page 11 - 13 out of 13 pages.

Prior to prescribing metformin, the provider should: Draw a serum creatinine to assess renal function. The action of “gliptins” is different from other antidiabetic agents because they: Act on the incretin system to indirectly increase insulin production DPP-4 inhibitors (gliptins) act on the incretin system to improve glycemic control. Advantages of these drugs include: Low risk for hypoglycemia Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs and symptoms of hypoglycemia include: Dizziness, confusion, diaphoresis, and tachycardia When the total daily insulin dose is split and given twice daily, which of the following rules may be followed? Give two-thirds of the total dose in the morning and one-third in the evening. The American Diabetic Association has recommended which of the following tests for ongoing management of diabetes? Fasting blood glucose and Hemoglobin A1c Lispro is an insulin analogue produced by recombinant deoxyribonucleic acid (DNA) technology. Which of the following statements about this form of insulin is not true? The duration of action is increased when the dose is increased. The drugs recommended for older adults with type II diabetes include: Third-generation sulfonylureas The decision may be made to switch from twice a day (BID) NPH insulin to insulin glargine to improve glycemia control throughout the day. This is effective when: The initial dose of glargine is reduced by 20% to avoid hypoglycemia. Type I diabetes results from autoimmune destruction of the beta cells. Eighty-five to 90% of type I diabetics have: Autoantibodies to two tyrosine phosphatases Metformin is a primary choice of drug to treat hyperglycemia in type II diabetes because it: Decreases glycogenolysis by the liver
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Studies have shown that control targets that reduce the HBA1c to less than 7% are associated with fewer long-term complications of diabetes. Patients who should have such a target include: Those with no significant cardiovascular disease Type II diabetes is a complex disorder involving: A suboptimal response of insulin-sensitive tissues especially in the liver Both ACE inhibitors and some angiotensin-II receptor blockers have been approved in treating: Hypertension in diabetic patients Diabetic nephropathy Both A and B Before prescribing metformin, the provider should: Draw a serum creatinine level to assess renal function . Unlike most type II diabetics where obesity is a major issue, older adults with low body weight have higher risks for morbidity and mortality. The most reliable indicator of poor nutritional status in older adults is: Involuntary loss of 10% of body weight in less than six months Diagnostic criteria for diabetes include: Symptoms of diabetes plus a casual blood glucose greater than 200 mg/dl Sadie is an 82-year-old patient who has herpes zoster (shingles) and would benefit from an antiviral such as valacyclovir. Prior to prescribing valacyclovir she will need assessment of: Renal function
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