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23 Cards in this Set

  • Front
  • Back

severe hypoglycemia

< 50 mg/dL

anterior pituitary produces

TSH, FSH, LH, GH, prolactin

posterior pituitary produces

vasopressin (ADH) and oxytocin

most common cause of hyperthyroidism

Grave's disease

if there's a thyroid mass/nodule - order

thyroid US

hyperthyroidism medications

PTU


methimazole

hyperthyroidism alternative tx

radioactive iodine


contraindicated in pregnancy and lactation

hyperthyroidism in pregnancy preferred tx

PTU

hypothyroidism tx

levothyroxine (Synthroid) - start w/ lowest dose for elderly

T1DM description

beta cell destruction


no insulin production


body fat used for fuel


ketones - metabolic product of fat breakdown

DM dx criteria

A1C > 6.5%


Fasting glucose > 126 mg/dL


Random glucose > 200 PLUS symptoms


2-hr OGTT > 200

peak postprandial plasma glucose

< 180 mg/dL

what can blunt hypoglycemic response

beta blockers

Dawn vs Somogyi

Dawn - elevated FBG at 4 and 8 am


Somogyi - decreased at 4 am, elevated at 8 am

metformin contraindications

renal disease, hepatic disease

metformin has increased risk of

lactic acidosis

metformin r/t IV contrast dye

hold metformin on day of procedure and 48 hours after

biguanides MOA

(metformin (glucophage))


decreases gluconeogenesis

sulfonylureas MOA

(glipizde, glyburide)


insulin secretagogues

which insulin covers one meal at a time

rapid acting insulin (lispro, humalog)

which insulin lasts from meal to meal

regular insulin

which insulin lasts from breakfast to dinner

NPH

which insulin is once a day

Lantus