Ch. 32 Diabetes Review

Question 0

Early symptoms of hypoglycemia include the central nervous system manifestations of confusion, ____, tremor, and ____.

Answer 0

Irritability; sweating

Question 1

The onset of action for lispro insulin is ___ to ___ hours; elimination half-life is ___ minutes; and the duration is ___ to ___ hours.

Answer 1

15; 1 to 2; 80; 3 to 5

Question 2

Patients should ____ I just their own insulin doses!

Answer 2

NEVER

Question 3

A fasting blood glucose level between ___ and ___ mg/dL indicates a good therapeutic response to glucose-reducing drugs.

Answer 3

70 and 100

Question 4

Glyburide should be taken in the ____ , 30 minutes before ____.

Answer 4

Morning; breakfast

Question 5

When the diabetic patient is NPO, the prescriber should be ____ for further ____ regarding the administration of the oral antidiabetic drugs.

Answer 5

Contacted; clarification

Question 6

To treat hypoglycemia a quick source of ____ should always be kept at hand.

Answer 6

Glucose

Question 7

Rapid-acting insulin, such as insulin ____ and insulin ____, are you able to mimic closely the body’s natural rapid insulin output after eating a ____; for this reason, both insolence are usually administered within ___ minutes of the patients beginning a meal.

Answer 7

Lispro; aspart; meal; 15

Question 8

Corticosteroids can antagonize the ____ effects of insulin, resulting in elevated blood ____ levels.

Answer 8

Hypoglycemic; glucose

Question 9

When alpha-glucosidase inhibitor is taken with the first bite of a meal, excessive ____ blood glucose elevation can be reduced to prevent it.

Answer 9

Postprandial

• HbA1c and postprandial glucose are measured to determine glucose levels.
• postprandial means after meals

Question 10

Metformin decreases glucose production by the ____; decreases intestinal absorption of glucose; and improves insulin ____ sensitivity in the liver, skeletal muscle, and adipose tissue, resulting in decreased insulin ____.

Answer 10

Liver; receptor; resistance