Type II Diabetes Mellitus Guideline Review

1. Using the 2014 ADA Standards of Medical Care in Diabetes recommendations on dyslipidemia, identify which of the following statements is TRUE:

Statin therapy should be added to lifestyle therapy regardless of baseline lipid levels in all patients with diabetes.

If targets are not reached on maximal tolerated statin therapy, combination therapy should be started.

Triglyceride levels > 150 mg/dL are an indication to start a fibrate.

The correct answer states that a reduction in LDL cholesterol of 30-40% from baseline is an alternative therapeutic goal in patients who are on maximal statin therapy and have not reached their targets. This means that if a patient with diabetes is already on the highest dose of statin therapy and their LDL cholesterol levels are still not within the target range, the alternative goal is to aim for a reduction of 30-40% from their baseline levels. This suggests that further intensification of statin therapy may not be necessary and that achieving this reduction in LDL cholesterol may be sufficient in managing their dyslipidemia.

Explanation

The correct answer states that a reduction in LDL cholesterol of 30-40% from baseline is an alternative therapeutic goal in patients who are on maximal statin therapy and have not reached their targets. This means that if a patient with diabetes is already on the highest dose of statin therapy and their LDL cholesterol levels are still not within the target range, the alternative goal is to aim for a reduction of 30-40% from their baseline levels. This suggests that further intensification of statin therapy may not be necessary and that achieving this reduction in LDL cholesterol may be sufficient in managing their dyslipidemia.

2. What is the ADA and AACE recommended level of A1C that is considered a criteria for diagnosis of diabetes?

≥ 5.4%

≥ 5.7%

≥ 6.5%

≥ 7%

None of these. A1C is not a diagnostic parameter that can be used to diagnose diabetes.

The ADA (American Diabetes Association) and AACE (American Association of Clinical Endocrinologists) recommend a level of A1C ≥ 6.5% as a criteria for the diagnosis of diabetes. A1C is a blood test that measures average blood sugar levels over the past 2-3 months. A level of 6.5% or higher indicates that a person has diabetes. This recommendation is based on extensive research and clinical evidence, and is widely accepted in the medical community.

Explanation

The ADA (American Diabetes Association) and AACE (American Association of Clinical Endocrinologists) recommend a level of A1C ≥ 6.5% as a criteria for the diagnosis of diabetes. A1C is a blood test that measures average blood sugar levels over the past 2-3 months. A level of 6.5% or higher indicates that a person has diabetes. This recommendation is based on extensive research and clinical evidence, and is widely accepted in the medical community.

3. The 2014 ADA Standards of Medical Care in DM currently recommends the following goal level for blood pressure:

< 130/80 mm Hg

< 135/85 mm Hg

< 140/80 mm Hg

< 140/90 mm Hg

The correct answer is

Explanation

The correct answer is

4. The ADA and AACE both support the use of individual A1C goals, dependent on patient specific risk factors. Which of the following factors would make it appropriate to have an A1C goal above 7%?

Newly diagnosed

Good support system

Long life expectancy

History of severe hypoglycemia

All of these risk factors would warrant consideration for goal > 7%

A history of severe hypoglycemia would make it appropriate to have an A1C goal above 7%. Severe hypoglycemia is a serious complication of diabetes characterized by dangerously low blood sugar levels. Setting a higher A1C goal can help prevent episodes of hypoglycemia by allowing for slightly higher blood sugar levels. This is done to minimize the risk of hypoglycemia while still maintaining good overall glycemic control.

Explanation

A history of severe hypoglycemia would make it appropriate to have an A1C goal above 7%. Severe hypoglycemia is a serious complication of diabetes characterized by dangerously low blood sugar levels. Setting a higher A1C goal can help prevent episodes of hypoglycemia by allowing for slightly higher blood sugar levels. This is done to minimize the risk of hypoglycemia while still maintaining good overall glycemic control.

5. Did the activity meet the following learning objective: Identify useful and current sources of treatment recommendations for patients with Type II Diabetes Mellitus: ADA, AACE, WI Essential.

Yes

No

Yes. The activity met the learning objective because it involved identifying useful and current sources of treatment recommendations for patients with Type II Diabetes Mellitus, specifically the ADA, AACE, and WI Essential.

Explanation

Yes. The activity met the learning objective because it involved identifying useful and current sources of treatment recommendations for patients with Type II Diabetes Mellitus, specifically the ADA, AACE, and WI Essential.

6. Did the activity meet the following learning objective: Identify key trials that guide the Recommendation Guidelines for optimal treatment of Type II Diabetes Mellitus.

Yes

No

Yes, the activity met the learning objective of identifying key trials that guide the Recommendation Guidelines for optimal treatment of Type II Diabetes Mellitus.

Explanation

Yes, the activity met the learning objective of identifying key trials that guide the Recommendation Guidelines for optimal treatment of Type II Diabetes Mellitus.

7. Did the activity meet the following learning objective: Utilize the ADA Recommendation Guidelines to:

Identify screening and diagnostic parameters for Type II Diabetes Mellitus
Define the recommended goal levels for the ABC's of Type II Diabetes Mellitus care and complication prevention
Compare and contrast current treatment recommendations to maintain goal levels for the ABC's based on individual patient factors

Yes

No

Yes, the activity met the learning objectives. It utilized the ADA Recommendation Guidelines to identify screening and diagnostic parameters for Type II Diabetes Mellitus, define the recommended goal levels for the ABC's of Type II Diabetes Mellitus care and complication prevention, and compare and contrast current treatment recommendations to maintain goal levels for the ABC's based on individual patient factors.

Explanation

Yes, the activity met the learning objectives. It utilized the ADA Recommendation Guidelines to identify screening and diagnostic parameters for Type II Diabetes Mellitus, define the recommended goal levels for the ABC's of Type II Diabetes Mellitus care and complication prevention, and compare and contrast current treatment recommendations to maintain goal levels for the ABC's based on individual patient factors.

8. How would you rate the ability of the presenter to provide a high-quality educational activity?

Very capable, presentation was well-done and provided good information

Somewhat capable, most information was presented well

Needs improvement

The presenter demonstrated a high ability to provide a high-quality educational activity. The presentation was well-done and effectively delivered good information to the audience.

Explanation

The presenter demonstrated a high ability to provide a high-quality educational activity. The presentation was well-done and effectively delivered good information to the audience.

9. How useful were the educational materials?

Very useful

Somewhat useful

Not useful

The educational materials were rated as "Very useful" by the respondents. This suggests that the materials provided were highly beneficial and effective in aiding the learning process. The respondents found the materials to be valuable in enhancing their understanding and knowledge acquisition.

Explanation

The educational materials were rated as "Very useful" by the respondents. This suggests that the materials provided were highly beneficial and effective in aiding the learning process. The respondents found the materials to be valuable in enhancing their understanding and knowledge acquisition.

10. How effective were the learning methods used for this activity?

Very effective

Somewhat effective

Not effective

The learning methods used for this activity were very effective. This can be inferred from the given answer "Very effective". The use of "very" indicates a high level of effectiveness, suggesting that the learning methods were successful in achieving the desired outcomes.

Explanation

The learning methods used for this activity were very effective. This can be inferred from the given answer "Very effective". The use of "very" indicates a high level of effectiveness, suggesting that the learning methods were successful in achieving the desired outcomes.

11. Learning assessment questions were appropriate.

Yes

No

The given statement suggests that the learning assessment questions were appropriate. It does not provide any specific details about the questions, but it implies that they were suitable or fitting for the purpose of assessing learning.

Explanation

The given statement suggests that the learning assessment questions were appropriate. It does not provide any specific details about the questions, but it implies that they were suitable or fitting for the purpose of assessing learning.