NR 601 - PRIMARY CARE OF THE MATURING AND AGED FAMILY QUESTIONS WITH CORRECT ANSWER

Type 1 Diabetes CORRECT ANSWER Characterized by severe insulin deficiency related to beta cell destruction. Immune mediated- 1A Idiopathic - 1B Type 2 Diabetes CORRECT ANSWER Characterized by abnormal secretion of insulin or insulin resistance. Prediabetes CORRECT ANSWER Elevated glucose with impaired tolerance. Does not meet type 2 diabetes diagnosis criteria. Type 1 Diabetes Risk Factors CORRECT ANSWER Younger age, Caucasian/European decent, Type 2 Diabetes Risk Factors CORRECT ANSWER Genetics, Obesity, AA, HTN, older than 45yo, HDL <35mg/dl, Triglycerides > 250mg/dl, minorities. Diabetes Diagnostic Criteria CORRECT ANSWER A1c >6.5, Fasting Glucose >126, Random Glucose >200, Symptoms, Glucose Tolerance Test >200. Confirmation with repeat testing. Type 1 Diabetes Initial Treatment CORRECT ANSWER Normalize blood glucose with insulin. Goal sugar level AC 80-130. A1C <7% Type 2 Diabetes Initial Treatment CORRECT ANSWER Lifestyle changes, nutrition and exercise counseling, balance and flexibility training. 500-700calories/day for weight loss. 150min/week divided x3 days for exercise. If A1C >10- insulin If A1C >7.5- metformin and 2nd agent If A1C<7.5- metformin and lifestyle changes Insulin side effects CORRECT ANSWER hypoglycemia Metformin side effects CORRECT ANSWER GI upset, lactic acidosis Diabetes treatment in Healthy older adult CORRECT ANSWER A1C goal <7.5%, FBS 90-130, HS glucose 90-150, BP <140/90, RX -Statin unless contraindicated Diabetes treatment in Complex older adult CORRECT ANSWER With multiple chronic illnesses; A1C goal <8%, FBS 90-150, HS glucose 100-180, BP <140/90, RX -Statin unless contraindicated