40. Standards of Medical Care in Diabetes—2022 Abridged for Primary Care Providers
Standards of Medical Care in Diabetes—2022 Abridged for Primary Care Providers
CEUs: 2 Clinical
Average read time: 120 minutes.
Short Summary of the Article:
This article, titled “Abridged Standards of Care for Diabetes 2022”, provides comprehensive guidelines for managing diabetes care across various clinical settings, including diagnosis, treatment, and prevention of diabetes-related complications. It emphasizes patient-centered care, focusing on improving cardiovascular and kidney outcomes through appropriate pharmacological and lifestyle interventions. The standards are based on the latest clinical trials and recommendations, addressing various risk factors and comorbidities that often accompany diabetes, such as cardiovascular disease (CVD) and chronic kidney disease (CKD). Special considerations are given to hypertension management, lipid control, and the role of SGLT2 inhibitors and GLP-1 receptor agonists in improving clinical outcomes for diabetic patients. The document also covers care strategies for older adults, pediatric populations, and pregnant women with diabetes.
Learning Outcomes
Upon completion of this activity, you should have an understanding of:
- Understand the pharmacological treatment strategies for hyperglycemia in adults with Type 2 diabetes and how they can be tailored to the individual based on comorbidities and risk factors.
- Be familiar with the recommendations for managing hypertension and lipid control in diabetic patients to reduce cardiovascular risk and improve long-term outcomes.
- Grasp the importance of individualized care plans for diabetic patients across different life stages, including older adults, children, and pregnant women, as well as considerations for special populations like those with CKD or CVD.
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Earned Point(s): 0 of 0, (0) What is the recommended blood pressure target for diabetic patients with hypertension and a lower risk of cardiovascular disease (CVD)? 8 True or False: SGLT2 inhibitors are recommended for patients with type 2 diabetes and CKD to reduce the risk of cardiovascular and kidney events. 9 What class of medications is the first-line treatment for hypertension in diabetic patients with coronary artery disease? 11 Which pharmacological intervention is generally NOT recommended for combination therapy with statins due to lack of cardiovascular benefit? 13 True or False: Retinopathy is a contraindication to the use of aspirin therapy for cardioprotection in diabetic patients. 14 What dietary approach is recommended for diabetic patients to manage blood pressure and improve cardiovascular outcomes? 10 True or False: Statins should be discontinued in older adults with diabetes due to the risk of cognitive decline. 14 For diabetic patients with fasting triglyceride levels over 500 mg/dL what should be considered as part of their treatment plan? 15 Which of the following is recommended for patients with diabetes and blood pressure exceeding 160/100 mmHg? 11 For patients with diabetes and ASCVD what is the recommendation for statin therapy? 12 What is the recommended frequency for lipid panel monitoring after initiation of statin therapy in diabetic patients? 12 Which of the following agents is NOT recommended as first-line therapy for managing blood pressure in diabetic patients? 13 True or False: Pregabalin and gabapentin are recommended for the treatment of neuropathic pain in diabetes. 16 In which patients with diabetes is metformin contraindicated based on eGFR levels? 17 What is the preferred method of insulin therapy for noncritically ill hospitalized patients with poor oral intake? 18
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