Nur 155 Test 1 Diabetes
Mellitus questions fully solved
& updated(100% accuracy)
diabetes mellitus - answer chronic multisystem disease characterized by
hyperglycemia from abnormal insulin production, impaired insulin use or
both.
Type 1 diabetes - answer an autoimmune disorder in which the body
develps antibodies against insulin and/or the pancreatic β cells that make
insulin.
Risk factors for type 1 diabetes - answer a genetic predisposition and
exposure to a virus
type 2 diabetes - answer a combination of inadequate insulin secretion
and insulin resistance
major distinction between type 1 and type 2 diabetes - answer the
presence of endogenous insulin in type 2 and lack of in type 1.
risk factors for type 2 diabetes - answer overweight or obese, being older
and having a family history of type 2 diabetes
gestational diabetes - answer develops during pregnancy. higher risk of c-
section and babies have incresed risk for perinatal death, birth injury and
neonatal complications.
risk factors for gestational diabetes - answer obesity, advanced maternal
age or family history of diabetes
, Conditions that may cause diabetes resulting from injury to, interference
with, or destruction of the β-cell function in the pancreas - answer Cushing
syndrome, hyperthyroidism, recurrent pancreatitis, cystic fibrosis,
hemochromatosis, and parenteral nutrition
Common drugs that can induce diabetes - answer corticosteroids
(prednisone), thiazides, phenytoin (Dilantin), and atypical antipsychotics
(e.g., clozapine [Clozaril])
T/F Diabetes caused by medical conditions or drugs can resolve when the
underlying condition is treated or the drug is discontinued - answer true
classic symptoms of type 1 diabetes - answer polyuria, polydipsia, and
polyphagia
other symptoms of type 1 diabetes - answer weight loss, weakness,
fatigue and ketoacidosis
symptoms of type 2 diabetes - answer often nonspecific. possible to have
polyuria, polydipsia and poyphagia. more common are fatigue, recurrent
infections, recurrent vaginal yeast or candida infections, prolonged wound
healing and vision problems.
4 methods for diagnosing diabetes - answer 1. A1C of 6.5% or higher
2. Fasting plasma glucose (FPG) level of 126 mg/dL (7.0 mmol/L) or
greater. Fasting is defined as no caloric intake for at least 8 hours
3. A 2-hour plasma glucose level of 200 mg/dL (11.1 mmol/L) or greater
during an OGTT, using a glucose load of 75 g
4. In a patient with classic symptoms of hyperglycemia (polyuria,
polydipsia, unexplained weight loss) or hyperglycemic crisis, a random
plasma glucose level of 200 mg/dL (11.1 mmol/L) or greater
goals of diabetes management - answer maintain weight to keep BMI <25,
maintain normal blood sugar: fasting 60-99, post-prandial <140. maintain
HgbA1c <7. prevent complications - wounds, infections, neuropathy, renal
failure, etc.
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