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Chapter 21. Diabetes Mellitus MTM Data Set

Which finding is consistent with a diagnosis of diabetes?

a. A1c of 6.0%

b. Fasting plasma glucose of 137 mg/dL

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

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

Answer b.

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

a. A 65-year-old female with average fasting glucose of 127 mg/dL on metformin 1000 mg twice daily

b. A 45-year-old male taking metformin 1000 mg twice daily and liraglutide 1.2 mg daily with postprandial glucose average of 167 mg/dL

c. A 40-year-old male taking metformin 500 mg twice daily and home blood pressure values ranging 120-138/70-80 mm Hg

d. A 50-year-old female taking metformin 1000 mg twice daily with a history of atherosclerotic cardiovascular disease not currently on statin therapy

Answer d.

A frail 81-year-old white male patient has a history of type 2 diabetes, hypertension, chronic kidney disease, and mild Alzheimer dementia. What is the most appropriate A1c goal for this patient?

a. <6.5%

b. <7%

c. <8%

d. <10%

Answer c.

Which description best explains 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 does not stimulate release of insulin.

Answer b.

All statements are appropriate for inclusion on the medication action plan 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 the provider if 3 sugar readings ...

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