Exam 26: Diabetes Mellitus

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Which recommendation is not advised for pregnant women with diabetes?

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Short Case Study Questions   Ruth Ann Glebowski is a 40-year-old woman. She has a medical history of gestational diabetes, high cholesterol, hypothyroidism, and depression. She is 5 ft 4 in. tall and weighs 190 lb. Recently she has made an appointment with her physician since she has been having excessive hunger and frequent urination. -In addition to anti-diabetic medications, what can Ruth Ann do to help control her blood glucose?

(Multiple Choice)
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Which intervention is most appropriate as part of sick-day management of diabetes?

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Mr. Jacobs has high blood lipids. The physician would instruct him to limit dietary intake of which substance as an added sweetener but not from whole foods (i.e., fruits and vegetables)?

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People with type 1 diabetes need exogenous insulin because they ____.

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Normal fasting plasma glucose levels are approximately ____ mg/dL.

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Short Case Study Questions   Ruth Ann Glebowski is a 40-year-old woman. She has a medical history of gestational diabetes, high cholesterol, hypothyroidism, and depression. She is 5 ft 4 in. tall and weighs 190 lb. Recently she has made an appointment with her physician since she has been having excessive hunger and frequent urination. -Fifteen years pass and Ruth Ann is experiencing some visual impairments. Her eye doctor explains that it could be diabetic ______________

(Multiple Choice)
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Mr. Lilly, a 42-year-old male, tells you that he used to take "pills" for his diabetes but is now taking insulin. What is the most likely reason that he no longer takes oral antidiabetic agents?

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Match each word or phrase with the most appropriate definition or explanation.
blood glucose levels are higher than normal but not high enough to be diagnosed as diabetes; considered a major risk factor for future cardiovascular disease
prediabetes
excessive urine production
hyperosmolar hyperglycemic syndrome
excessive appetite or eating
type 1 diabetes
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blood glucose levels are higher than normal but not high enough to be diagnosed as diabetes; considered a major risk factor for future cardiovascular disease
prediabetes
excessive urine production
hyperosmolar hyperglycemic syndrome
excessive appetite or eating
type 1 diabetes
excessive thirst
diabetic nephropathy
usually results from autoimmune destruction of pancreatic beta-cells; little or no insulin is produced in the pancreas
macrosomia
retinal damage associated with diabetes
metabolic syndrome
compounds formed when glucose combines with proteins; can damage tissues and lead to diabetic complications
diabetic retinopathy
hemoglobin molecules with glucose attached; used to evaluate long-term glycemic control
diabetic neuropathy
newborns having an abnormally large body when born to mothers with uncontrolled diabetes
polydipsia
cluster of interrelated clinical symptoms, including central obesity, insulin resistance, high blood pressure, and abnormal blood lipids, which together increase cardiovascular disease risk two- to three-fold
glycated hemoglobin
usually results from insulin resistance coupled with insufficient insulin secretion
advanced glycation end products
hormone produced by adipose cells that promotes insulin sensitivity
polyphagia
extreme hyperglycemia that is associated with hyperosmolar blood, dehydration, and altered mental status
adiponectin
kidney damage associated with diabetes
type 2 diabetes
nerve degeneration associated with diabetes
polyuria
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The hyperinsulinemia that typically accompanies obesity promotes sodium reabsorption in the kidneys, resulting in fluid retention and ____.

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What test may be used to determine glycemic control over the preceding 2- to 3-week period?

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Compare and contrast conventional and intensive therapies for type 1 diabetic patients, including the advantages and disadvantages of each.

(Essay)
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What maternal complication has been associated with uncontrolled diabetes during pregnancy?

(Multiple Choice)
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The pancreatic hormone that promotes gluconeogenesis in the liver is ____.

(Multiple Choice)
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Short Case Study Questions   Ruth Ann Glebowski is a 40-year-old woman. She has a medical history of gestational diabetes, high cholesterol, hypothyroidism, and depression. She is 5 ft 4 in. tall and weighs 190 lb. Recently she has made an appointment with her physician since she has been having excessive hunger and frequent urination. -Ruth Ann's doctor can best evaluate long-term diabetic compliance by checking her ____.

(Multiple Choice)
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Which is NOT a sign or symptom of diabetic neuropathy?

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Which condition is a microvascular complication of diabetes?

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Illustrate the acute complications of uncontrolled diabetes.

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Diagnostic criteria for metabolic syndrome include high-density lipoprotein (HDL) levels of less than ____ mg/dL in men.

(Multiple Choice)
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Hyperglycemia that results from the release of counterregulatory hormones following nighttime hypoglycemia is known as ____.

(Multiple Choice)
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