Exam 21: Carbohydrate-Controlled Diets for Diabetes Mellitus

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Compare and contrast the use of carbohydrate counting and food lists for meal planning.

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An appropriate diet for diabetics includes all of these dietary adjustments EXCEPT:

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Diabetics who use insulin or medications that promote insulin secretion should:

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A patient's diabetic diet prescription is for 1800 kcalories with 50% of kcalories from carbohydrate. How many carbohydrate portions is the patient allowed each day?

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Match each nutrition term with the appropriate definition.
Premises:
resistin
Responses:
hyperglycemia that results from the release of counter regulatory hormones following nighttime hypoglycemia; also called the Somogyi effect
the type of diabetes that accounts for 5 to 10% of diabetes cases and is caused by autoimmune destruction of pancreatic beta cells
known as insulin resistance syndrome or syndrome X
Correct Answer:
Verified
Premises:
Responses:
resistin
hyperglycemia that results from the release of counter regulatory hormones following nighttime hypoglycemia; also called the Somogyi effect
(Matching)
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Match each nutrition term with the appropriate definition.
Premises:
type 2 diabetes
Responses:
hyperglycemia that results from the release of counter regulatory hormones following nighttime hypoglycemia; also called the Somogyi effect
a hormone produced by adipose cells that promotes insulin resistance
hormone produced by adipose cells that improves insulin sensitivity
Correct Answer:
Verified
Premises:
Responses:
type 2 diabetes
hyperglycemia that results from the release of counter regulatory hormones following nighttime hypoglycemia; also called the Somogyi effect
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Explain "sick-day management" for a patient with diabetes.

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The Somogyi effect is also known as:

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In non-diabetes, glycated hemoglobin values are typically:

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Hypoglycemia is frequently caused by:

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Case Study Questions ​Use the following case study to answer questions Jared Joiner is a 56-year-old African American insurance agent. He is single, eats most meals at restaurants, leads a sedentary lifestyle, and drinks 3-4 beers a day. He is 5'9" tall and weighs 204 pounds (BMI 30). Mr. Joiner has been feeling particularly fatigued lately and decided to make an appointment with his physician for a check-up. The results of his laboratory tests include a fasting blood glucose level of 121 mg/dL. -To reduce his risk of developing diabetes, Mr. Joiner should follow all of these recommendations EXCEPT:

(Multiple Choice)
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Which condition is not a chronic complication of diabetes?

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Type 2 diabetics who develop a serious illness or infection that worsens elevated glucose concentrations are prone to developing:

(Multiple Choice)
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Match each nutrition term with the appropriate definition.
Premises:
rebound hyperglycemia
Responses:
the type of diabetes that accounts for 90 to 95% of diabetes cases and is a result of insulin resistance coupled with insufficient insulin secretion
known as insulin resistance syndrome or syndrome X
the type of diabetes that accounts for 5 to 10% of diabetes cases and is caused by autoimmune destruction of pancreatic beta cells
Correct Answer:
Verified
Premises:
Responses:
rebound hyperglycemia
the type of diabetes that accounts for 90 to 95% of diabetes cases and is a result of insulin resistance coupled with insufficient insulin secretion
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Intensive insulin therapy can cause:

(Multiple Choice)
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Match each nutrition term with the appropriate definition.
Premises:
hyperosmolar hyperglycemic syndrome
Responses:
the presence of albumin in the urine; a sign of diabetic nephropathy
a group of metabolic disorders characterized by hyperglycemia and disordered insulin metabolism
delayed stomach emptying
Correct Answer:
Verified
Premises:
Responses:
hyperosmolar hyperglycemic syndrome
the presence of albumin in the urine; a sign of diabetic nephropathy
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Prediabetes is diagnosed when a person has a fasting blood glucose level that falls between 100 and 125 mg/dL. ​

(True/False)
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The treatment of type 2 diabetes stresses _____ because of its beneficial effects on improving blood glucose control and blood lipids, and reducing blood pressure. ​

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Case Study Questions ​Use the following case study to answer questions Jared Joiner is a 56-year-old African American insurance agent. He is single, eats most meals at restaurants, leads a sedentary lifestyle, and drinks 3-4 beers a day. He is 5'9" tall and weighs 204 pounds (BMI 30). Mr. Joiner has been feeling particularly fatigued lately and decided to make an appointment with his physician for a check-up. The results of his laboratory tests include a fasting blood glucose level of 121 mg/dL. -After two months, Mr. Joiner has lost weight but his fasting blood glucose has risen to 140 mg/dL. Mr. Joiner's disease has progressed to:

(Multiple Choice)
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It is appropriate for clients diagnosed with type 2 diabetes to take oral antidiabetic agents and ignore their prescribed diet.

(True/False)
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