Test Your Knowledge

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!

A 23-year-old athletic, nonobese man presents with a low-density lipoprotein cholesterol (LDL-C) level of 196. He reports that he's recently been eating more "bar food." Both his parents have high cholesterol, and his father had a myocardial infarction at age 41 y. His physical exam is notable for bilateral corneal arcus and Achilles tendon xanthomas. What's the best treatment option? A. Treat with diet B. Treat with diet + exercise C. Treat with diet + exercise + low-intensity statin D. Treat with diet + exercise + high-intensity statin Did you get it right? Follow the link to see!

Which one of the following is an advantage of a glucagon-like peptide-1 (GLP-1) receptor agonist over mealtime insulin? A. Less hypoglycemia B. Fewer injections C. Less weight gain D. All of the above Follow the link to see the correct answer!

One of the advantages of the newer long-acting insulin analogs over current basal insulins is: a. No injections needed b. Clear from the body more quickly c. Reduced risk for nocturnal hypoglycemia d. Less expensive Follow the link to see the correct answer!