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Chapter 21. Diabetes Mellitus Medication Therapy Management Data Set

Which of the following is consistent with a diagnosis of diabetes?

a. A1c of 6.0%

b. Fasting plasma glucose of 137 mg/dL

c. 2-hour plasma glucose of 186 mg/dL

d. Random blood glucose of 179 mg/dL with polydipsia

According to the ADA, which of the following lab values would indicate a need for adjustment of pharmacotherapy in a patient with diabetes mellitus?

a. Fasting glucose of 127 mg/dL

b. Postprandial glucose of 167 mg/dL

c. LDL cholesterol of 130 mg/dL

d. HDL cholesterol of 55 mg/dL

MB is a frail 81-year-old white male with a history of type 2 diabetes, hypertension, chronic kidney disease, and mild Alzheimer's dementia. Which of the following is the most appropriate A1c goal for this patient?

a. ? 6.5%

b. ? 7%

c. ? 8%

d. ? 10%

Which of the following best describes how you would explain the mechanism of metformin to a patient using living room language?

a. A hypoglycemic medication that works by decreasing hepatic gluconeogenesis

b. A diabetes medicine that works by reducing the amount of sugar the liver makes

c. A diabetes medicine that works by reducing glucose synthesis and increasing peripheral insulin sensitivity

d. A diabetes medicine that does not cause hypoglycemia because it doesn't stimulate release of insulin

All of the following are appropriate for inclusion on the MAP of a patient with diabetes EXCEPT:

a. Check blood sugar 2 times a day (first thing in the morning and 2 hours after a meal) and write down values

b. Notify provider if I have 3 sugar readings over 250 mg/dL or any 1 reading over 300 mg/dL.

c. If I have low blood sugar (? 70 mg/dL), eat one-half a cup of ice cream, one-half of a candy bar, or drink one-half of a cup of fruit juice or soda

d. Bring log book ...

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