CDRE Prep - Diabetes Test Bank Solution Manual Already Passed ( Graded A+)
Inhibits - Answers Insulin ___ lipolysis
Inhibit - Answers Insulin ___ gluconeogenesis
Stimulates - Answers Insulin ___ protein synthesis
Inhibitss - Answers Insulin ___ glycogenolysis
Stimulate - Answers Insulin ___ glycogenesis
Stimulatess - Answers Insulin ___ fat storage
Stimulatee - Answers Insulin ___ uptake of blood glucose by fat and muscle cells
Type 1 - Answers encompasses diabetes that is primarily a result of pancreatic beta cell
destruction and that is prone to ketoacidosis. This form includes cases due to an
autoimmune process and those for which the etiology of beta cell destruction is
unknown.
Type 2 - Answers may range from predominantly insulin resistance with relative
insulin deficiency to a predominant secretory defect with insulin resistance. The
person with Type 2 diabetes may be lean (10%) or overweight/obese (90%),
usually requires oral hypoglycemic agents or insulin, and is not ketosis-prone.
Gestational diabetes - Answers Type 2 diabetes occurring in pregnancy only; may require
insulin therapy. Oral hypoglycemic agents are not used for treatment of
gestational diabetes.
terms IDDM & NIDDM should not be used. - Answers which DM terms should not be used
glycogen is not stored; decreased uptake of glucose by fat
and muscle cells. - Answers what happens to carb metabolism during insulin deficiency
decreased lipogenesis (Type 1) and lipolysis occurs instead, leading
to ketone formation. - Answers what happens to fat metabolism during insulin deficiency
decreased protein synthesis and increased gluconeogenesis. - Answers what happens to protein
metabolism during insulin deficiency
,Age>40years
• 10
relative with diabetes
• member of high risk population (Aboriginal, Hispanic, South Asian, Asian, or
African descent)
• History of IGT or IFG
• Presence of complications associated with diabetes
• Vascular disease
• History of GDM
• History of delivery of a macrosomia infant
• HTN
• Dyslipidemia
• Overweight
• Abdominal obesity
• PCOS
• Acanthosis Nigricans
• Schizophrenia - Answers what are the risk factors for developing type 2 DM
i. Fasting Plasma glucose
ii. Casual PG
iii. 2 hour PG in a 75g OGTT - Answers What are the 3 blood tests that diagnose diabetes (Type 1 or 2)?
> 7.0 mmol/L (fasting=no caloric intake for at least 8
hours) - Answers what is the threshold for fasting PG to indicate DM
> 11.1 mmol/L + symptoms of diabetes (casual= any time of the
day, without regard to the interval since the last meal. Classic symptoms of
diabetes=polyuria, polydipsia, and unexplained weight loss) - Answers what is the threshold for casual
PG for DM
, > 11.1 mmol/L (oral glucose tolerance test) - Answers threshold for Oral glucose tolerance test
Pre-diabetes is a practical and convenient term for impaired glucose tolerance and
impaired fasting glucose. It is important to stress that not all people with pre-
diabetes will progress to diabetes. - Answers What is meant by pre-diabetes?
6.1-6.9 FG
7.8-11.0 OGTT mol/L - Answers what is the FG level and OGTT level for pre diabetes
People with diabetes should follow Canada's Guidelines for Healthy Eating
• Eat a variety of foods
• Emphasize cereals, breads, and other whole grains products, fruits, and
vegetables
• Choose lower fat dairy products, leaner meats, and foods prepared with
little or not fat
• Achieve and maintain a healthy body weight through regular physical
activity and healthy eating
• Limit sodium, alcohol, and caffeine - Answers What are the nutritional considerations for individuals
with diabetes?
i. prevent hypoglycemia if person on anti-diabetic agents or insulin
ii. appetite control
iii. improves potential to meet Canada's Food Guide to Healthy Eating - Answers Why are snacks
important for some people with diabetes? (3 reasons)
(50-55% of energy)
• include whole grains, fruits, vegetables and milk
• within the same food category, consume low-glycemic index foods in
place of high glycemic index foods
• sucrose intake of up to 10% of daily energy if acceptable
• the use of sweetners is acceptable
Inhibits - Answers Insulin ___ lipolysis
Inhibit - Answers Insulin ___ gluconeogenesis
Stimulates - Answers Insulin ___ protein synthesis
Inhibitss - Answers Insulin ___ glycogenolysis
Stimulate - Answers Insulin ___ glycogenesis
Stimulatess - Answers Insulin ___ fat storage
Stimulatee - Answers Insulin ___ uptake of blood glucose by fat and muscle cells
Type 1 - Answers encompasses diabetes that is primarily a result of pancreatic beta cell
destruction and that is prone to ketoacidosis. This form includes cases due to an
autoimmune process and those for which the etiology of beta cell destruction is
unknown.
Type 2 - Answers may range from predominantly insulin resistance with relative
insulin deficiency to a predominant secretory defect with insulin resistance. The
person with Type 2 diabetes may be lean (10%) or overweight/obese (90%),
usually requires oral hypoglycemic agents or insulin, and is not ketosis-prone.
Gestational diabetes - Answers Type 2 diabetes occurring in pregnancy only; may require
insulin therapy. Oral hypoglycemic agents are not used for treatment of
gestational diabetes.
terms IDDM & NIDDM should not be used. - Answers which DM terms should not be used
glycogen is not stored; decreased uptake of glucose by fat
and muscle cells. - Answers what happens to carb metabolism during insulin deficiency
decreased lipogenesis (Type 1) and lipolysis occurs instead, leading
to ketone formation. - Answers what happens to fat metabolism during insulin deficiency
decreased protein synthesis and increased gluconeogenesis. - Answers what happens to protein
metabolism during insulin deficiency
,Age>40years
• 10
relative with diabetes
• member of high risk population (Aboriginal, Hispanic, South Asian, Asian, or
African descent)
• History of IGT or IFG
• Presence of complications associated with diabetes
• Vascular disease
• History of GDM
• History of delivery of a macrosomia infant
• HTN
• Dyslipidemia
• Overweight
• Abdominal obesity
• PCOS
• Acanthosis Nigricans
• Schizophrenia - Answers what are the risk factors for developing type 2 DM
i. Fasting Plasma glucose
ii. Casual PG
iii. 2 hour PG in a 75g OGTT - Answers What are the 3 blood tests that diagnose diabetes (Type 1 or 2)?
> 7.0 mmol/L (fasting=no caloric intake for at least 8
hours) - Answers what is the threshold for fasting PG to indicate DM
> 11.1 mmol/L + symptoms of diabetes (casual= any time of the
day, without regard to the interval since the last meal. Classic symptoms of
diabetes=polyuria, polydipsia, and unexplained weight loss) - Answers what is the threshold for casual
PG for DM
, > 11.1 mmol/L (oral glucose tolerance test) - Answers threshold for Oral glucose tolerance test
Pre-diabetes is a practical and convenient term for impaired glucose tolerance and
impaired fasting glucose. It is important to stress that not all people with pre-
diabetes will progress to diabetes. - Answers What is meant by pre-diabetes?
6.1-6.9 FG
7.8-11.0 OGTT mol/L - Answers what is the FG level and OGTT level for pre diabetes
People with diabetes should follow Canada's Guidelines for Healthy Eating
• Eat a variety of foods
• Emphasize cereals, breads, and other whole grains products, fruits, and
vegetables
• Choose lower fat dairy products, leaner meats, and foods prepared with
little or not fat
• Achieve and maintain a healthy body weight through regular physical
activity and healthy eating
• Limit sodium, alcohol, and caffeine - Answers What are the nutritional considerations for individuals
with diabetes?
i. prevent hypoglycemia if person on anti-diabetic agents or insulin
ii. appetite control
iii. improves potential to meet Canada's Food Guide to Healthy Eating - Answers Why are snacks
important for some people with diabetes? (3 reasons)
(50-55% of energy)
• include whole grains, fruits, vegetables and milk
• within the same food category, consume low-glycemic index foods in
place of high glycemic index foods
• sucrose intake of up to 10% of daily energy if acceptable
• the use of sweetners is acceptable
