PBL N2V04: Values Certification Revised Exam Questions With Multiple Choices And Verified Answers.
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Course
PBL
Institution
PBL
4-6 mmol/L - correct answer normal glucose range
40 to 50 units or 0.6 units/kg - correct answer average amt of insulin secreted daily by an adult
people who are younger than 30 years, with a peak onset between ages 11-...
PBL N2V04: Values
4-6 mmol/L - correct answer normal glucose range
40 to 50 units or 0.6 units/kg - correct answer average amt of insulin secreted daily
by an adult
people who are younger than 30 years, with a peak onset between ages 11-13 - correct answer
T1DM most often occurs in:
10-15% - correct answer individuals who have a first-degree relative with T1DM at
the time of diagnosis
a fasting or a 2-hour plasma glucose level is higher than normal (6.1-6.9 mmol/L for IFG and 7.1-11
mmol/L for IGT) but lower than that considered diagnostic for DM. - correct answer
prediabetes is noted when...
people older than age 35 and 80-90% of patients are overweight at the time of diagnosis - correct
answer T2DM occurs in individuals who...
- Hemoglobin A1C >6.5%
- Fasting plasma glucose >7.0 mmol/L
- Random plasma glucose >11.1 mmol/L plus classic symptoms of DM such as polyuria, polydipsia, etc.
-Two-hour OGTT >11.1 mmol/L using 75g of glucose. - correct answer diagnostic
tests for T2DM:
Insulin secretagogues (Sulphonylureas) - correct answer - increase B-cell insulin
production - caution for older adults and people with renal impairments. This med more effective early
in the course of diabetes and less later.
Nonsulphonylureas (Meglitinides) - correct answer increase B-cell insulin
production as well but more rapidly absorbed and eliminated so less chance for hypoglycemia (i.e. rapid
and short release of insulin) - only take this med 30 minutes before eating up to the time of eating (i.e.
don't take without eating). Best used in patients with irregular mealtimes
Biguanides (Metformin) - correct answer Reduce glucose production by the liver
and enhance insulin sensitivity at tissue level to improve glucose transport into cells and inhibits GI
absorption of glucose - recommended first line therapy. Unlike the last two meds, this does not cause
weight gain. Can also be used to treat prediabetes.
Alpha glucosidase inhibitors - correct answer Slow down absorption of carbs - take
with first bite of the meal - most effective in lowering postprandial blood glucose. These meds not
effective against fasting hyperglycemia.
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