MNT 1 - EXAM 1 QUESTIONS WITH CORRECT ANSWERS |LATEST UPDATE 100%
SOLVED| GRADED A+
Dawn Phenomenon Cortisol and growth hormone peak in the morning due to low BG at
night
High BG in am and need more insulin in the am
Need more insulin in the morning to cover the same amount of CHO later in the day
Dawn phenomenon treatment eat breakfast
excercise later in the day
adjust insulin
HS snack should limit CHO and increase protein and fat
Somogyi vs. Dawn? If sugar is normal 2-3 am - dawn
low - somogyi
analyze diet and insulin intake and recommendations
Betahydroxybutyrate is a ketone body
Gastroparesis Delayed stomach emptying
Seen in pt's with DM for more than 10+ years
,Causes damages to the vagus nerve
1/3 of pt. have this
S&S gastroparesis constipation
abdominal pain
naseua
vomiting
dysphagia
diarrhea
bloating
delayed gastric empyting
low acid secretion
anoerxia
PEM
Gastroparesis treatment optimize glycemic control
avoid exacerbating factors
diet modifications
prokinetics
intraplyoric botox
enteral nutrition
,gastric pacing
surgery
Medications to treat gastroparesis Reglan
Motilium
Propulsid
Frequent small feedings
liquids or blending foods rather than solids
Add fat
CHO: insulin ratio how many units of insulin cover a certain amount of carbs
more insulin is needed for
insulin resistant patients
obese
if dawn is present
need to be on a pump or have multiple injections
Type 2 diet weight loss - low carb
physical activity and behavior modification
, 150 minutes of physical activity per week
increase fiber
monitor CHO intake
Type 1 diet carbohydrate individualized
carb counting
focus is on amount of carbs not source
consistent carbs at meals and snacks
Oral medications that cause hypoglycemia Meglitinides: prandin, starlix (repaglinide,
nateglinide)
Sulfonylureas
Incretin mimetics - victoza
Amylin analogue - symlin
Sliding scale insulin patients will usually be taught to adjust their insulin dose based on their
CHO intake and exercise
should always receive basal insulin
Insulin should be delivered SUBQ
Total Daily Dose TDD
SOLVED| GRADED A+
Dawn Phenomenon Cortisol and growth hormone peak in the morning due to low BG at
night
High BG in am and need more insulin in the am
Need more insulin in the morning to cover the same amount of CHO later in the day
Dawn phenomenon treatment eat breakfast
excercise later in the day
adjust insulin
HS snack should limit CHO and increase protein and fat
Somogyi vs. Dawn? If sugar is normal 2-3 am - dawn
low - somogyi
analyze diet and insulin intake and recommendations
Betahydroxybutyrate is a ketone body
Gastroparesis Delayed stomach emptying
Seen in pt's with DM for more than 10+ years
,Causes damages to the vagus nerve
1/3 of pt. have this
S&S gastroparesis constipation
abdominal pain
naseua
vomiting
dysphagia
diarrhea
bloating
delayed gastric empyting
low acid secretion
anoerxia
PEM
Gastroparesis treatment optimize glycemic control
avoid exacerbating factors
diet modifications
prokinetics
intraplyoric botox
enteral nutrition
,gastric pacing
surgery
Medications to treat gastroparesis Reglan
Motilium
Propulsid
Frequent small feedings
liquids or blending foods rather than solids
Add fat
CHO: insulin ratio how many units of insulin cover a certain amount of carbs
more insulin is needed for
insulin resistant patients
obese
if dawn is present
need to be on a pump or have multiple injections
Type 2 diet weight loss - low carb
physical activity and behavior modification
, 150 minutes of physical activity per week
increase fiber
monitor CHO intake
Type 1 diet carbohydrate individualized
carb counting
focus is on amount of carbs not source
consistent carbs at meals and snacks
Oral medications that cause hypoglycemia Meglitinides: prandin, starlix (repaglinide,
nateglinide)
Sulfonylureas
Incretin mimetics - victoza
Amylin analogue - symlin
Sliding scale insulin patients will usually be taught to adjust their insulin dose based on their
CHO intake and exercise
should always receive basal insulin
Insulin should be delivered SUBQ
Total Daily Dose TDD
