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1. According to current American Diabetes Association guidelines, what is a reasonable glycated hemoglobin A_1c treatment goal for most long-term care residents with type 2 diabetes?

A. Lower than 7.5% B. Lower than 8.0% C. Lower than 8.5% D. Lower than 9.0%

2. Glyburide is contraindicated in older patients with type 2 diabetes due to an increased risk of which of the following?

A. Falls B. Prolonged hypoglycemia C. Drug-drug interactions D. Postprandial glucose excursions

3. Which of the following BEST describes the threshold of renal insufficiency below which sulfonylureas are contraindicated in patients with type 2 diabetes?

A. A glomerular filtration rate (GFR) of less than 60 mL/min B. A GFR of less than 50 mL/min C. A GFR of less than 30 mL/min D. A GFR of less than 25 mL/min

4. JT is a 68-year-old long-term care resident whose type 2 diabetes is inadequately controlled on an optimally dosed combination of metformin and a sulfonylurea. After discussing treatment options, he has agreed to start insulin therapy. Which of the following treatment options would you recommend as being MOST consistent with current American Diabetes Association guidance for starting insulin therapy?

A. A basal insulin analog B. NPH insulin C. A basal insulin analog plus rapid-acting insulin prior to the main meal D. NPH insulin plus rapid-acting insulin prior to the main meal

5. Which of the following insulin delivery systems is associated with improved adherence relative to other systems?

A. Insulin vial/syringe B. Insulin pen C. Inhaled insulin D. Insulin jet injectors

6. Relative to other insulin regimens, sliding-scale insulin is associated with which of the following?

A. An increased risk of hypoglycemia B. Improved insulin adherence C. An Increased likelihood of achieving glycemic targets D. Higher patient satisfaction scores

Maintenance is scheduled for 8/7/2023 7:00 AM EST - 8:00 AM EST.

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1. According to current American Diabetes Association guidelines, what is a reasonable glycated hemoglobin A_1c treatment goal for most long-term care residents with type 2 diabetes?

2. Glyburide is contraindicated in older patients with type 2 diabetes due to an increased risk of which of the following?

3. Which of the following BEST describes the threshold of renal insufficiency below which sulfonylureas are contraindicated in patients with type 2 diabetes?

5. Which of the following insulin delivery systems is associated with improved adherence relative to other systems?

6. Relative to other insulin regimens, sliding-scale insulin is associated with which of the following?

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Maintenance is scheduled for 8/7/2023 7:00 AM EST - 8:00 AM EST.

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1. According to current American Diabetes Association guidelines, what is a reasonable glycated hemoglobin A1c treatment goal for most long-term care residents with type 2 diabetes?

2. Glyburide is contraindicated in older patients with type 2 diabetes due to an increased risk of which of the following?

3. Which of the following BEST describes the threshold of renal insufficiency below which sulfonylureas are contraindicated in patients with type 2 diabetes?

5. Which of the following insulin delivery systems is associated with improved adherence relative to other systems?

6. Relative to other insulin regimens, sliding-scale insulin is associated with which of the following?

« Return to Activity

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1. According to current American Diabetes Association guidelines, what is a reasonable glycated hemoglobin A_1c treatment goal for most long-term care residents with type 2 diabetes?