Managing Type 2 Diabetes: New Guidelines are Transforming Medication Use Monograph Reducing Opioid-Related Harms: A Role for Pharmacists Post-Test

Which of the following statements about goals of diabetes management is correct?*

The goal is to select medications to reduce cardiovascular disease (CVD) risk, so HbA1c no longer matters.
The goal is to select medications to reduce CVD risk, along with targeting an HbA1c goal of <6.5% for all patients with established vascular disease.
An HbA1c goal of <7% is appropriate for all patients with diabetes, using medications to address comorbidities based on patient factors.
An HbA1c goal of <8.5% may be appropriate for frail older patients, using medications to address comorbidities based on patient factors.

Metformin is recommended as first-line therapy for all patients with diabetes without a contraindication (e.g., advanced kidney disease) requiring medication.*

True
False

A second medication can be added within weeks, not months, of starting treatment in patients with diabetes 1.5% or more above HbA1c goal to reduce time until treatment target is achieved.*

True
False

A newly diagnosed patient with diabetes has presented to clinic (HbA1c = 8.9%). The patient’s HbA1c goal is <7%. Renal function is normal, comorbidities include hypertension and recently diagnosed heart failure. Which of the following medications should be prioritized for this patient?*

Insulin
Empagliflozin with metformin
Metformin with sitagliptin
Liraglutide with metformin

A patient started on metformin has a myocardial infarction. Which one of the following medications is recommended to be added, regardless of HbA1c?*

SGLT-2 inhibitor
DPP-4 inhibitor
Pioglitazone
Sulfonylurea

For patients not at goal on metformin but who have overweight or obesity, which one of the following medications is most likely to help with weight loss?*

Sitagliptin
Pioglitazone
Glipizide
Semaglutide

For patients not at goal on metformin without other comorbidities who need to add another medication but are concerned about cost, which is the best option?*

Insulin
Alogliptin
Pioglitazone
Liraglutide

All SGLT-2s and GLP-1s have been found effective in preventing CVD, so you can use any medication from the class.*

True
False

When starting insulin, begin with short-acting insulin at mealtime before adding a long-acting basal insulin.*

True
False

In older adults treated with multiple insulin injections per day, a pragmatic insulin simplification algorithm reduced the number of injections without worsening hyperglycemia.*

True
False

Managing Type 2 Diabetes: New Guidelines are Transforming Medication Use Monograph Reducing Opioid-Related Harms: A Role for Pharmacists Post-Test

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