Diabetes Mellitus

Question 1

Lack in DM

Answer 1

Insulin

Question 2

What is the function of Insulin?

Answer 2

Transport glucose into the cell

Question 3

What do you call the ⬆️sugar in the blood?

Answer 3

Hyperglycemia

Question 4

How many months does the sugar stick to the RBC?

Answer 4

3 - 4 months or
90 - 120 days

Question 5

Lab test to check the sugar in the blood for 3 month?

Answer 5

HgbA1c
Glycosylated Hgb

Question 6

What causes Polydipsia in DM?

Answer 6

Cellular DHN

Question 7

The pt complains of food cravings, why does the DM pt complains of food cravings? - Polyphagia

Answer 7

Cellular Starvation

Question 8

What causes Polyuria?

Answer 8

⬆️blood flow to the kidney

Question 9

What produce insulin?

Alpha or Beta cells?

Answer 9

Beta cells

Question 10

What produce Glucagon?

Alpha or Beta Cells

Answer 10

Alpha cells

Question 11

Weight Loss is common in what type of DM?

Answer 11

Type 1

Question 12

What type of DM is insulin dependent?

Answer 12

Type 1

Question 13

What type of DM is due to lifestyle?

Answer 13

Type 2

Question 14

What type of DM is Juvenile DM?

Answer 14

Type 1

Question 15

Mgt of DM that is only injectable?

Type 1 or Type 2

Answer 15

Type 1

Question 16

Mgt of DM that is injectable + OHA

Type 1 or Type 2

Answer 16

Type 2

Question 17

Whose pt you will give insulin?

Answer 17

DM 1
DM 2
Pregnan woman

Question 18

What are the 3P’s in DM?

Answer 18

• Polydipsia
• Polyphagia
• Polyuria

+ weight loss

Question 19

What do you call the ⬆️sugar in the blood?

Answer 19

Hyperglycemia

Question 20

Life span or RBC?

Answer 20

90 - 120 days

Question 21

Lab test that measures bld sugar for the last 3 - 4 mos

Answer 21

HgbA1c

> 7% - (+) DM

Question 22

What is the causes of Diabetic Coma?

Answer 22

Because of the Formation of Ketones.

Why?
Because Glucose isn’t utilized by the cell

Question 23

Diabetic Coma happens if your sugar is what?

High or low?

Answer 23

High

Because the body uses Fats and Proteins as the food of cell because the glucose(CHO) in the blood vessels cannot enter the cells due to lack of Insulin

Question 24

What is the complication pf HONKKS (HNKKS)

Answer 24

Seizure or
Convulsion

Question 25

Type of insulin: Rapid Acting Insulin Regular Intermediate LUng acting

Answer 25

Regular

Question 26

Type of Insulin Clear Regular Intermediate LUng Acting

Answer 26

Regular

Question 27

Type of Insulin NPH Regular Intermediate LUng Acting

Answer 27

Intermediate

Question 28

Type of insulin Lispro Regular Intermediate LUng Acting

Answer 28

Regular

Question 29

Type of insulin Humilin - N Regular Intermediate LUng Acting

Answer 29

Intermediate

Question 30

Type of insulin Ultra Lente Regular Intermediate LUng Acting

Answer 30

LUng Acting

Question 31

Type of insulin Lantose Regular Intermediate Lung Acting

Answer 31

LUng Acting -no onset and peak. Only Duration =24hrs

Question 32

Why it is not allowed to shake the insulin bottle?

Answer 32

Bubbles decreases the potency

Question 33

Normal distance between the 2 sites of insulin injections?

Answer 33

Maintain at least 1 inch distance

Question 34

What type of insulin has no onset and peak; only duration

Answer 34

Lantose

Question 35

Storage of insulin

Answer 35

Refrigerator Normal Room temperature

Question 36

Type of insulin Humilin - R Regular Intermediate LUng Acting

Answer 36

Regular

Question 37

What complication results from increase Growth Hormone in the morning?

Answer 37

Dawn Phenomenon Normal - Hyper - Hyper

Question 38

Hyper - hypo - hyper Blood sugar Dawn Phenomenon or Somogyi Effect

Answer 38

Somogyi Effect Rebound Hyperglycemia

Question 39

Other complications of DM with signs of Hypoglycemia? Diabetic Coma Diabetic Phenomenon

Answer 39

Diabetic Phenomenon

Question 40

Other complications of DM Madaling araw, tumaas sugar Somogyi Effect or Dawn Phenomenon

Answer 40

Dawn Phenomenon

Question 41

Signs of Hyperglycemia that is complication of DKA Diabetic Phenomenon or Diabetic Coma

Answer 41

Diabetes Coma

Question 42

Other complications of DM with Pre - Breakfast Hyperglycemia Dawn Phenomenon or Somogyi Effect

Answer 42

Dawn Phenomenon

Question 43

What do you call a blood sugar or <60?

Answer 43

Mild hypoglycemia Normal 80 - 120 70 - 110

Question 44

What do you call a blood sugar or <20?

Answer 44

Severe hypoglycemia

Question 45

Mgt for UNCONSCIOUS Hypoglycemia in Diabetic Phenomenon

Answer 45

D50W IV Bolus

Question 46

Mgt for CONSCIOUS hypoglycemia pt; how many hard candies?

Answer 46

6 lifesavers/ hard candies

Question 47

Mgt for Diabetic Phenomenon, CONSCIOUS pt Take extra sugar

Answer 47

- 6 lifesavers/ hard candies - 4 tsp sugar - 4 sugar cubes - 1 tbsp honey / syrup - 1 Glass milk / Orange Juice - 1 can soft drinks - 3 Graham Crackers - 4 Saltine Crackers

Question 48

Diabetic Phenomenon mgt if symptoms resolve

Answer 48

Give 2 slices white bread

Question 49

Diabetic Phenomenon Mgt after 1 hr

Answer 49

Give regular meal

Question 50

Treatment for Dawn Phenomenon Pre - breakfast Normal - Hyper - Hyper

Answer 50

NPH at 10pm

Question 51

Mgt for Somogyi Effect?

Answer 51

Offer bedtime snacks

Question 52

Other complications of DM; with untimely Insulin Administration Nakalimutan mo ang timely Insulin Administration; my nakalimutan ka or di mo nabigay sa tamang oras

Answer 52

Somogyi Effect

Question 53

Other complications of DM that the problem is Growth Hormone

Answer 53

Dawn Phenomenon

Question 54

Other complications of DM with low insulin dose; or early insulin administration or eating before bedtime Somogyi Effect or Insulin Waning

Answer 54

Insulin Waning