Midterms_Diabetes

Question 1

a serious and chronic metabolic disease characterized by an increase in blood sugar levels, has been

Answer 1

Diabetes

Question 2

beta cells destroyed by autoimmune process

Answer 2

Type 1 Diabetes

Question 3

decreased insulin production and decreased sensitivity to insulin

Answer 3

Type 2

Question 4

Clinical Manifestations

Answer 4

Polyuria
Polydipsia
Polyphagia
Fatigue, tingling or numbness in hands,
slow healing wounds and recurrent infections

Question 5

Diagnostic for type 2 DM

Answer 5

glycated hemoglobin (A1C) test
NV : <5.7%

Random blood sugar test.
Results > 200 = DM

FBS
100mg/dl = Healthy
100-125 prediabetes
> 126 = Diabetes

OGTT
<140mg/dl healthy
140-199 pre diabetes
>200mg diabetes

Question 6

Women of average risk tested between
what weeks of pregnancy?

Answer 6

24-28 weeks gestation

Question 7

Goals for glucose levels during
pregnancy are _______before meals; _____ after meals

Answer 7

<105 and <130

Question 8

Dawn phenomenon (nocturnal surge of growth hormone) so give dose at HS not before dinner

Answer 8

Morning hyperglycemia

Question 9

nocturnal hypoglycemia followed by rebound hyperglycemia-decrease evening dose of insulin

Answer 9

Somogyi effect

Question 10

Earliest clinical sign of nephropathy is
___________.

Answer 10

microalbuminuria