ANCC FNP Boards Study Guide
Type 2 Diabetes (Ans- insulin resistance
Screening for Type 2 Diabetes (Ans- every 3 years starting at age 45
A1C for Type 2 Diabetes (Ans- > 6.5%
FPG for Type 2 Diabetes (Ans- > 126
- hour plasma glucose for Type 2 Diabetes
(Ans- > 200
Random glucose for Type 2 Diabetes (Ans- > 200
A1C for Prediabetes (Ans- 5.7-6.4%
1st drug or choice for Type 2 Diabetes (Ans- Metformin
Contraindication for Metformin (Ans- liver cirrhosis or alcohol use disorder; increased serum creatinine
Two most common side effects of Metformin (Ans- Diarrhea and Flatulence
- Meds for All Diabetics
(Ans- Aspirin, Metformin, BP, and Statin 1 / 2
Target BG after eating (Ans- < 180
Fasting BG Target (Ans- 70-130
Biguanides (Ans- Metformin (Glucophage)
Sulfonylureas (-ide) (Ans- Secrete insulin; can cause hypoglycemia and wt gain; for pt's on a fixed budget (-Ride Price)
DPP-4 inhibitors (-gliptin) (Ans- Reduces A1C by 0.7%
GLP-1 agonists (-tide) (Ans- Helps ppl lose weight (-Tide of the wt); Not for fixed budget
When should you consider basal insulin?(Ans- A1C > 9% & Fasting glucose > 250
Basal insulin (Lantus) (Ans- Once a day at the same time
NPH insulin (Humulin N, Novolin N) (Ans- Lasts from breakfast to dinner; Covers the postprandial spike after lunch
Regular insulin (Humulin R, Novolin R) (Ans- Lasts from meal to meal
Rapid-acting insulin (Humalog- Lispro) (Ans- Covers one meal at a time
- / 2