Scott is a 57-year-old white male who has been diagnosed with type 2 diabetes mellitus (T2DM) for 4 years.
Test Your Knowledge #478: Of all the medications dispensed, insulin is the number one product with
Of all the medications dispensed, insulin is the number one product with the most errors. There are a number of things you can do to prevent insulin errors. The best approach to reducing insulin errors with new insulin products is by conducting...
Test Your Knowledge #479: A 58-year-old man who has Type 2 diabetes has excellent glycemic control
A 58-year-old man who has Type 2 diabetes has excellent glycemic control (hemoglobin A1c value of 6.4%) on diet alone. He exercises and maintains a desirable weight and body mass index. His blood pressure is 110/80 mm Hg. His total cholesterol...
Test Your Knowledge #480: A 74-year-old man who has had Type 2 diabetes for 20 years is evaluated
A 74-year-old man who has had Type 2 diabetes for 20 years is evaluated for possible initiation of insulin treatment. He takes metformin 1000 mg twice daily and glyburide 10 mg twice daily. He recently began measuring his preprandial blood glucose...
Test Your Knowledge #481: A 56-year-old woman who has Type 2 diabetes asks her physician to refer her for
A 56-year-old woman who has Type 2 diabetes asks her physician to refer her for bariatric surgery. She has had diabetes for 16 years and has been treated with metformin and insulin. She also takes atorvastatin.
Test Your Knowledge #482: A 58-year-old woman who has had diabetes for 6 years currently takes metformin 500 mg twice daily
A 58-year-old woman who has had diabetes for 6 years currently takes metformin 500 mg twice daily. She strictly adheres to her diet and exercise regimen. At a routine evaluation, her blood pressure varies on several readings but remains in the...
Test Your Knowledge #483: A 74-year-old man who has had Type 2 diabetes for 20 years is evaluated
A 74-year-old man who has had Type 2 diabetes for 20 years is evaluated for possible initiation of insulin treatment. He takes metformin 1000 mg twice daily and glyburide 10 mg twice daily. He recently began measuring his...
Test Your Knowledge #484: A 32-year-old male factory worker is brought to the emergency department
A 32-year-old male factory worker is brought to the emergency department after becoming ill at work. On admission, his blood glucose is 468 mg/dL (25.97 mmol/L) with moderate ketones. Intravenous insulin and fluids are...
Test Your Knowledge #485: A 36-year-old woman who has had Type 2 diabetes for 2 years is evaluated
A 36-year-old woman who has had Type 2 diabetes for 2 years is evaluated because she has just discovered that she is 5 weeks' pregnant. She currently takes glyburide and rosiglitazone. Her most recent hemoglobin A1c value was 8.2%. She says...
Test Your Knowledge #486: A 48-year-old woman who has had Type 2 diabetes mellitus for several years
A 48-year-old woman who has had Type 2 diabetes mellitus for several years is seen for a routine follow-up evaluation. Her metabolic control has always been very good, with most hemoglobin A1c values less than 6.5%. Her current treatment is...
Test Your Knowledge #487: A 62-year-old recently retired female school teacher who was diagnosed with Type 2 diabetes
A 62-year-old recently retired female school teacher who was diagnosed with Type 2 diabetes 18 years ago comes for a routine evaluation. Her medications include maximum dosages of rosiglitazone, metformin, and repaglinide. She tells you she...
Test Your Knowledge #488: A 12-year-old African-American boy undergoes his annual physical examination
A 12-year-old African-American boy undergoes his annual physical examination. He has no symptoms, does not participate in any sports, and has a sedentary lifestyle, but he performs well at school. His mother and both maternal grandparents have...
Test Your Knowledge #489: A 25-year-old man who has had Type 1 diabetes for 10 years is evaluated
A 25-year-old man who has had Type 1 diabetes for 10 years is evaluated for increased frequency of hypoglycemia and fatigue. Hypoglycemic episodes have particularly occurred during the late afternoon and night.
Test Your Knowledge #490
Type 2 diabetes in dogs is just as prevalent as in humans.
Test Your Knowledge #499: Your patient is a 42-year-old woman who was diagnosed with Type 2 diabetes six months ago
Your patient is a 42-year-old woman who was diagnosed with Type 2 diabetes six months ago. Her HbA1c is 7.3% on metformin. She is moderately overweight, with a BMI of 29, and has not been able to lose weight or begin a regular exercise...
Test Your Knowledge #500: Your patient is a 56-year-old man with Type 2 diabetes and dyslipidemia...
Your patient is a 56-year-old man with Type 2 diabetes and dyslipidemia. His HbA1c is 7% after 3 months of metformin and sitagliptin; his current LDL-C is 110 mg/dL. According to national treatment guidelines, which of the following HbA1c and...
Test Your Knowledge #501: Which of the following statements best describes the rationale for aggressive therapy...
Which of the following statements best describes the rationale for aggressive therapy, which targets multiple pathophysiologic defects of Type 2 diabetes?
Test Your Knowledge #502: What was a result from the UKPDS Study?
This week we would like you to answer the question:
What was a result from the UKPDS Study?
Test Your Knowledge #503: Which is not a cause of discrepancies between glucose meter numbers...
Which is not a cause of discrepancies between glucose meter numbers and the average reflected by A1c results?
Test Your Knowledge #504: A 62-year-old man with Type 2 diabetes is admitted to the hospital with an acute myocardial infarction....
A 62-year-old man with Type 2 diabetes is admitted to the hospital with an acute myocardial infarction. He did not previously have a known history of coronary artery disease. His diabetes has been well controlled with sulfonylurea...
Test Your Knowledge #505: Your patient is a 42-year-old woman who was diagnosed with Type 2 diabetes six months ago....
Your patient is a 42-year-old woman who was diagnosed with Type 2 diabetes six months ago. Her HbA1c is 7.3% on metformin. She is moderately overweight, with a BMI of 29, and has not been able to lose weight or begin a regular exercise...
Test Your Knowledge #506: A 58-year-old woman who has had Type 2 diabetes for 15 years is evaluated at a routine...
A 58-year-old woman who has had Type 2 diabetes for 15 years is evaluated at a routine follow-up examination. She has coexisting hypertension, hyperlipidemia, and background retinopathy but no other known microvascular or macrovascular...
Test Your Knowledge #507: At his routine evaluation, a 62-year-old man who has had diabetes for 10 years reports....
At his routine evaluation, a 62-year-old man who has had diabetes for 10 years reports a 6-week-old right foot ulcer that has not completely healed despite local dressing and oral antibiotics. He is obese and also has mild osteoarthritis,...
Test Your Knowledge #508: A 45-year-old woman who has obesity and Type 2 diabetes has been taking metformin....
A 45-year-old woman who has obesity and Type 2 diabetes has been taking metformin 1000 mg twice daily and glimepiride 4 mg daily for several years. Her body mass index is 33. Her hemoglobin A1c value is 7.9%. She is very reluctant to use...
Test Your Knowledge #509: A 55-year-old man who has Type 2 diabetes, obesity, hypertension, and hypercholesterolemia recently....
A 55-year-old man who has Type 2 diabetes, obesity, hypertension, and hypercholesterolemia recently had an abnormal result on a cardiac stress test. He has stable microalbuminuria and a serum creatinine concentration of 1.2 mg/dL (106.1...
Test Your Knowledge #510: A 60-year-old female schoolteacher who was diagnosed with Type 2 diabetes two months ago....
A 60-year-old female schoolteacher who was diagnosed with Type 2 diabetes two months ago while on summer vacation in another state is seen for a follow-up evaluation with her primary care physician. At the time of diagnosis, she had marked...
Test Your Knowledge #511: A 52-year-old Mexican American woman has had Type 2 diabetes for 10 years....
A 52-year-old Mexican American woman has had Type 2 diabetes for 10 years.
Test Your Knowledge #512: A 49-year-old male cardiologist who has had Type 1 diabetes for 22 years is concerned....
A 49-year-old male cardiologist who has had Type 1 diabetes for 22 years is concerned that his current regimen of insulin glargine 20 U at bedtime and pre-meal insulin lispro, the dosage of which depends on his carbohydrate intake and...
Test Your Knowledge #513: A 25-year-old Hispanic woman with a 5-year history of Type 2 diabetes presents for a routine...
A 25-year-old Hispanic woman with a 5-year history of Type 2 diabetes presents for a routine follow-up visit. Despite education, she has had difficulty making diet and lifestyle modifications and currently has a BMI of 45...
Test Your Knowledge #514: Although it is well known that glycemic control, blood pressure, and lipid optimization all have....
Although it is well known that glycemic control, blood pressure, and lipid optimization all have a tremendous impact on the outcome of diabetes care, achieving these goals in patients with diabetes has proved difficult.
Test Your Knowledge #515: There is little information on whether statins and LDL cholesterol...
There is little information on whether statins and LDL cholesterol are associated with the onset of end-stage renal disease (ESRD) in at-risk populations.
Test Your Knowledge #516: A 63-year-old man with Type 2 diabetes has a blood pressure of 134/82 mm Hg...
A 63-year-old man with Type 2 diabetes has a blood pressure of 134/82 mm Hg, a hemoglobin A1c value of 6.2%, and an LDL cholesterol level of 90 mg/dL (2.33 mmol/L). He takes hydrochlorothiazide 25 mg daily, simvastatin 40 mg daily, metformin...
Test Your Knowledge #517: A 28-year-old woman who has had Type 1 diabetes since age 5 years is evaluated...
A 28-year-old woman who has had Type 1 diabetes since age 5 years is evaluated for pre-conception counseling. She had poor glycemic control and elevated hemoglobin A1c values during her teenage years but has maintained good glycemic control...
Test Your Knowledge #518: A 25-year-old male construction worker who has had Type 1 diabetes for 16 years...
A 25-year-old male construction worker who has had Type 1 diabetes for 16 years calls for advice after almost 1 week of unexplained pre-dinner hyperglycemia.
Test Your Knowledge #519: A 19-year-old male college freshman who has had Type 1 diabetes for 2 years...
A 19-year-old male college freshman who has had Type 1 diabetes for 2 years is brought to the emergency department after an episode of severe hypoglycemia. His roommate administered glucagon and called an ambulance after the patient was found...
Test Your Knowledge #520: What are the three natural hormones that our bodies...
What are the three natural hormones that our bodies make to regulate glucose that are replaced or replicated as medications?
Test Your Knowledge #521: A patient calls and says that they do "double red cell" donation...
A patient calls and says that they do "double red cell" donation to the American Red Cross every four months. They know that A1c is about glucose on the blood cells and want to know if this can affect their A1c level.
Test Your Knowledge #522: A 40-year-old Hispanic man is evaluated
A 40-year-old Hispanic man is evaluated for fatigue, blurry vision, polyuria, polydipsia, nocturia, and an unintentional 4.5-kg (10-lb) weight loss over the past month.
Test Your Knowledge #523: A Woman with Type 2 Diabetes and Hyperlipidemia, Part One of Three
Mrs. Carmend is a 42-year-old Hispanic woman who presents for an annual physical exam. She states:
Test Your Knowledge #524: A Woman with Type 2 Diabetes and Hyperlipidemia, Part Two of Three
Mrs. Carmend is a 42-year-old Hispanic woman who presents for an annual physical exam. She states:
Navigate through our listing of Test Your Knowledge articles here.
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