Reducing Risks

Question 1

Which trial showed that intensive glycemic management is decreased rates of microvascular complications?

Answer 1

Diabetes Control and Complications Trial (DCCT)

Question 2

What is the leading cause of disease for individuals with DM?

Answer 2

CVD

Question 3

What is the ADA’s definition of HTN?

Answer 3

> 130+/80+

Question 4

What BP agents are preferred in pregnancy?

Answer 4

-Nifedipine
-Labetalol
-Methyldopa

Question 5

What BP agents are preferred in DM?

Answer 5

ACE-I or ARB

Question 6

When should initial BP lowering therapy with 2 agents be considered?

Answer 6

> 160/110

Question 7

How does the lipid profile of someone with DM compare to that of someone without?

Answer 7

-Elevated TG
-Decreased HDL
-Similar LDL

Question 8

What are considered low-risk lipid values?

Answer 8

-LDL < 100
-HDL > 50
-TG < 105

Question 9

When should a statin be considered in children/adolescents?

Answer 9

If LDL NOT < 160 mg/dL (or < 130 with an additional risk factor) by age 10

Question 10

According to the ADA, what is the goal LDL?

Answer 10

< 100

Question 11

According to the ADA, what is the goal HDL?

Answer 11

Men: > 40

Women: > 50

Question 12

According to the ADA, what is the goal TG?

Answer 12

< 150

Question 13

What can cause transient elevations of urine albumin?

Answer 13

-Marked hyperglycemia
-Exercise within 24 hr of test
-Infection or fever
-Marked HTN
-HF
-Menstruation

Question 14

How many tests are needed to diagnosis someone with microalbuminuria?

Answer 14

2-3 within 3-6 months