Test Your Knowledge

Which of the following GLP-1 agonists is not currently approved for use with basal insulin? A. Exenatide (Byetta) B. Dulaglutide (Trulicity) C. Albiglutide (Tanzeum) D. Liraglutide (Victoza) E. None of the above Did you get it right? Follow the link to find out!

A 78-year old patient with a 15-year history of type 2 diabetes arrives in your office for a check-up. He suffers from stage 3 chronic kidney disease and lives alone. From previous visits you have learned he has very few support services. What would be a realistic A1C treatment target for this individual? A. A1C 6.0-6.5% B. A1C 7.5-8.0% C. A1C 8.5-10.0% D. A1C 10.5-11% Follow the link to see the correct answer!

According to the Centers for Disease Control and Prevention, what percentage of patients who have diabetes and are older than 65 years old will die of heart disease? A. 58% B. 68% C. 78% D. 88% Follow the link to see the correct answer.

Basal insulin/GLP-1 combination medications versus each therapy separately for patients with type 2 diabetes: the combination medications are associated with all of the following properties EXCEPT: A. Greater A1c reduction B. Less insulin use C. Lower rates of hypoglycemia D. Weight gain Follow the link to see if you got the right answer!

A 52-year-old Asian-American man presents for a wellness visit. He has borderline elevated blood pressure (136/84 mm Hg), a BMI of 27 kg/m2, and a family history of diabetes and myocardial infarction. He is a nonsmoker, drinks 1-2 glasses of wine nightly, and jogs 4-5 times/wk for 40 min. Total cholesterol is 173 mg/dL (high-density lipoprotein cholesterol, 40 mg/dL; low-density lipoprotein cholesterol, 112 mg/dL). His 10-y atherosclerotic cardiovascular disease risk is 7.5%, and takes no medications. According to the 2013 American College of Cardiology/American Heart Association cholesterol guidelines, what's the first step you should take with this patient? A. Prescribe atorvastatin 20 mg daily B. Check high-sensitivity C-reactive protein C. Check carotid intima-media thickness test D. None of the above Follow the link to see the right answer!

What proportion of Americans age 45 and older have self-reported memory problems? 1. 1 in 30 2. 1 in 16 3. 1 in 9 4. 1 in 4 Follow the link to see the correct answer!

According to the American Diabetes Association's (ADA's) guidelines, how often should you intensify therapy for patients with diabetes who have not reached their A1C goal? A. Every month B. Every 3 months C. Every 6 months D. Every 9 months E. Every 12 months Follow the link to see the correct answer!

A 62-year-old man presents with type 2 diabetes, hypertension, and albuminuria. His seated BP is 162/104 mm Hg. What's an ideal blood pressure target for this patient? A. 140/90 mm Hg B. 130/80 mm Hg C. 120/70 mm Hg D. 150/80 mm HG Did you get it right? Follow the link to find out!

When diagnosing suspected nonalcoholic fatty liver disease (NAFLD), hepatic steatosis and inflammation with hepatocellular injury is an indication of which one of the following? A. Nonalcoholic fatty liver (NAFL) B. Nonalcoholic steatohepatitis (NASH) C. Both of the above D. None of the above Follow the link to see the correct answer!

There is an antidiabetic medication available on the U.S. market with an indication from the U.S. Food and Drug Administration (FDA) to prevent cardiovascular (CV) disease. A. True B. False Follow the link to see the answer!