Question 1
What is the current prevalence of preDM & DM in the US?
ANSWER
"50% of people have preDM or DM
- 11%/37M c DM
- - 23% don't know it
- 38% c preDM
- 35% by 2050
- mostly non-white, uneducated, poor ppl"
Question 2
What is the current prevalence of preDM in youth in the US?
ANSWER
"- 23% black & hispanic
- 16% white
- 13% girls
- 23% boys"
Question 3
What intervention is most likely to decrease DM in the US?
ANSWER
1
,Community health programs that address social inequities & improve access to care
Question 4
What are the SDOH?
ANSWER
"- healthcare access & quality
- neighborhood & built environment
- social & community context
- economic stability
- education access & quality"
Question 5
What goes into our health?
ANSWER
"- 40% socioeconomic factors
- 10% physical environment
- 30% health behaviors
- 20% healthcare"
Question 6
What is the total cost of DM?
ANSWER
"- $413B, 43% to hospital inpt care
- 32% of Medicare dollars
2
,- PWD have 2-4x greater medical expenditures"
Question 7
What does pancreatic insulin do?
ANSWER
"- beta cells
- anabolic, stores glucose as glycogen in muscle & liver
- secreted in response to elevated glucose
- halts breakdown of glycogen in liver
- ^PRO synthesis & fat storage
- powerful hypoglycemic"
Question 8
What does pancreatic amlyn do?
ANSWER
"- beta cells
- secreted 1:1 ratio c insulin
- causes satiety
- lowers post-prandial glucagon response
- slows gastric emptying
- T1 makes none
- T2 make less than normal"
Question 9
3
, What does pancreatic glucagon do?
ANSWER
"- alpha cells
- opposes insulin active in the liver
- stimulated in response to low glucose levels
- stimulates liver to release glycogen to glucose
- inhibits liver glucose uptake
- causes hypergly
- ""party animal"" in T2D"
Question 10
How long does exercise ^insulin sensitivity?
ANSWER
25-48h
Question 11
What are the s/s of DM?
ANSWER
"- polyuria (H2O losses)
- polydipsia (dehydration)
- polyphasia (fuel depletion)
- wt loss and fatigue (poor energy utilization)
- skin and other infections (bacteria cafeteria)
- blurry vision (osmotic changes)
- erectile dysfunction (thick sticky blood)"
4
What is the current prevalence of preDM & DM in the US?
ANSWER
"50% of people have preDM or DM
- 11%/37M c DM
- - 23% don't know it
- 38% c preDM
- 35% by 2050
- mostly non-white, uneducated, poor ppl"
Question 2
What is the current prevalence of preDM in youth in the US?
ANSWER
"- 23% black & hispanic
- 16% white
- 13% girls
- 23% boys"
Question 3
What intervention is most likely to decrease DM in the US?
ANSWER
1
,Community health programs that address social inequities & improve access to care
Question 4
What are the SDOH?
ANSWER
"- healthcare access & quality
- neighborhood & built environment
- social & community context
- economic stability
- education access & quality"
Question 5
What goes into our health?
ANSWER
"- 40% socioeconomic factors
- 10% physical environment
- 30% health behaviors
- 20% healthcare"
Question 6
What is the total cost of DM?
ANSWER
"- $413B, 43% to hospital inpt care
- 32% of Medicare dollars
2
,- PWD have 2-4x greater medical expenditures"
Question 7
What does pancreatic insulin do?
ANSWER
"- beta cells
- anabolic, stores glucose as glycogen in muscle & liver
- secreted in response to elevated glucose
- halts breakdown of glycogen in liver
- ^PRO synthesis & fat storage
- powerful hypoglycemic"
Question 8
What does pancreatic amlyn do?
ANSWER
"- beta cells
- secreted 1:1 ratio c insulin
- causes satiety
- lowers post-prandial glucagon response
- slows gastric emptying
- T1 makes none
- T2 make less than normal"
Question 9
3
, What does pancreatic glucagon do?
ANSWER
"- alpha cells
- opposes insulin active in the liver
- stimulated in response to low glucose levels
- stimulates liver to release glycogen to glucose
- inhibits liver glucose uptake
- causes hypergly
- ""party animal"" in T2D"
Question 10
How long does exercise ^insulin sensitivity?
ANSWER
25-48h
Question 11
What are the s/s of DM?
ANSWER
"- polyuria (H2O losses)
- polydipsia (dehydration)
- polyphasia (fuel depletion)
- wt loss and fatigue (poor energy utilization)
- skin and other infections (bacteria cafeteria)
- blurry vision (osmotic changes)
- erectile dysfunction (thick sticky blood)"
4
