What are the four major classes of diabetes?
- correct answer Type 1 diabetes mellitus, Type 2 diabetes mellitus, Gestational diabetes mellitus,
Diabetes secondary to other conditions.
What is the primary cause of Type 1 diabetes?
- correct answer It is thought to be an autoimmune disease in which pancreatic beta cells are destroyed.
How does Type 2 diabetes develop?
- correct answer Adipose and muscle cells become less sensitive to insulin, or the pancreas produces less
insulin than needed.
What triggers gestational diabetes?
- correct answer Pregnancy causes the woman to become intolerant to glucose.
List major risk factors for Type 2 diabetes.
- correct answer Family history, obesity, sedentary lifestyle, race/ethnicity, age over 45, previously
identified IFG, hypertension, and history of gestational diabetes.
What is the diagnostic criteria for diabetes mellitus?
- correct answer Includes self-monitoring blood glucose, medical nutrition therapy, drug therapy, and
patient education.
What is the target HbA1C level according to the ADA?
- correct answer HbA1C < 7.0%.
What are the goals for preprandial and postprandial plasma glucose levels?
- correct answer Preprandial: 80-130 mg/dL; Postprandial: <180 mg/dL.
What is the recommended blood pressure goal for diabetes management?
- correct answer <140/90 mm Hg.
, What is the normal range for fasting glucose levels?
- correct answer 70 to 120 mg/dL.
What are the classic symptoms of diabetes mellitus?
- correct answer Polyuria, polydipsia, and polyphagia.
What is insulin resistance?
- correct answer Body tissues do not respond to insulin due to unresponsive or deficient insulin
receptors.
What is the role of insulin in glucose metabolism?
- correct answer Insulin promotes glucose transport into cells, stabilizes blood glucose levels, and
stimulates storage of glucose as glycogen.
What factors influence the selection of pharmacologic therapy for diabetes?
- correct answer Degree of hyperglycemia, presence of symptoms, comorbidity, patient motivation, and
patient preference.
What is the significance of HDL and triglyceride levels in diabetes management?
- correct answer HDL >40 mg/dL (men), >50 mg/dL (women); Triglycerides <150 mg/dL.
What is the target LDL level for patients without overt cardiovascular disease?
- correct answer <100 mg/dL.
What is the target LDL level for patients with overt cardiovascular disease?
- correct answer <70 mg/dL.
What is the role of medical nutrition therapy in diabetes management?
- correct answer It is part of an effective treatment plan alongside self-monitoring and drug therapy.
What is the function of insulin after a meal?
- correct answer It stimulates the storage of glucose as glycogen and inhibits gluconeogenesis.