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24 Cards in this Set
- Front
- Back
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Requirement for DX
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1. fasting >126
2. Random>200 w/polys 3. 2h> 200mg 4. A1C=> 6.5 asym. Repeat |
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Geriatric pts
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Less than AIC of 8= 183 BG
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Sulfonylurea (Glipizide, Glyburide, Glimepiride)
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photosensitizing
Makes beta cells produce more insulin |
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Biguanide- Metformin (Glucaphage)
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Reduce glucose genesis
decrease absoprtion increase peripheral glucose uptake most monitor creatinine M>1.5, W>1.4, C/I: CHF, >80 yo, surgery, contrast (increase risk of lactic acidosis) |
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Short acting, Rapid Onset
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Humalog, Novolog, Apidra
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Short Acting
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Peak 2-3 hours, Humulin R, Novolin R
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Intermediate
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Peak 6-14 hours, NPH- Novolin N, Humulin N
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Long acting
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Lantus, no peak
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CV: HTN and Lipids
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.
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hypertensive retinopathy grades
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1. narrowing of terminal branches
2. narrowing of vessles, no vision change 3. vision change, striate hemorrhages, soft exudate 4. papilledema |
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BP: 140/90 HTN 1
BP: 160/100 HTN 2 BP : 130/80 for DM, CKD |
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Lifestyle
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1. weight loss (BMI: 18.5-25)
2. DASH 3. decrease sodium 4. physical activity 30 min qday 5. alcohol, M: 2, W: 1 per day |
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ACEI (pril)
ARB ( sartan) |
1. SE: cough, angioedema
2. |
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HCTZ
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first line for most
SE: Na, K, Mg depeltion dont use with GFR less than 30. use loop instead |
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BB-olol
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caution with COPD, asthma, untreated heart block, may mask hypoglycemia
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HF
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diuretic, BB, ACE, ARB, Aldosterone antagonist (all except CCB- ankle edema)
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Post MI
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BB, ACE, Aldosterone antagonist
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Clonidine, Ctapress
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sedation risk, do not use on older adults
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HMG CoA reductase (statin)
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Decrease LDL
Check Lipid, hepatic, CK= rhabdo |
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Bile acid (cholestyramine, colestipol)
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Decrase LDL, increase HDL
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Niacin
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increase HDL, decrease TG
Flushing SE, take baby aspiring 1 hr before |
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Fibrates (Gemfibrozil)
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incrase HDL, derease TG
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Fish Oil
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decrease TG
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GOAL
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HDL>40
LDL<100 Trig<150 |
