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CDE Diabetes

Flashcards: Clinical Tools & Resources (Appendices)

The Appendices of the Clinical Practice Guidelines are the practical “engine room” of diabetes care, containing the specific tools needed to translate theory into action. These flashcards are designed to help pharmacists and healthcare professionals quickly recall critical lists—from the “SADMANS” sick-day protocol to insulin pharmacokinetics—ensuring you have these references at your fingertips when patient safety is on the line.

Key Topics Covered:

  • Sick Day Management: Memorizing the “SADMANS” mnemonic to identify medications (Sulfonylureas, ACE inhibitors, Diuretics, Metformin, ARBs, NSAIDs, SGLT2 inhibitors) that must be held during acute illness to prevent kidney injury.

  • Insulin Pharmacokinetics: Recalling the specific onset, peak, and duration profiles for rapid-acting, short-acting, intermediate, and long-acting insulins to optimize timing and avoid hypoglycemia.

  • Neuropathy Screening: Reviewing the correct application of the 10g Semmes-Weinstein monofilament and 128 Hz tuning fork to detect loss of protective sensation.

  • Etiologic Classification: Distinguishing between different types of diabetes, including those induced by drugs (e.g., atypical antipsychotics, glucocorticoids) or genetic defects (e.g., MODY).

  • Titration Protocols: Mastering the standard initiation and titration rules for basal insulin (e.g., starting at 10 units and increasing by 1 unit daily until fasting targets are met).