1. When blood glucose levels are difficult to control in C. Newer premixed in-
type II diabetes, some form of insulin may be added sulins are better at lower-
to the treatment regimen to control blood glucose ing hemoglobin A1c and
and limit complications risks. Which of the following postprandial glucose lev-
statements are accurate based on research? els than are long-acting
insulins.
A. Premixed insulin analogues are better at lowering
hemoglobin A1c and have less risk for hypoglycemia.
B. Premixed insulin analogues and the newer pre-
mixed insulins are associated with more weight gain
than the oral antidiabetic agents.
C. Newer premixed insulins are better at lowering he-
moglobin A1c and postprandial glucose levels than are
long-acting insulins.
D. Patients who are not controlled on oral agents and
have postprandial hyperglycemia can have NPH in-
sulin added at bedtime.
2. The American Diabetic Association has recommended B. Hemoglobin A1c
which of the following tests for ongoing management
of diabetes?
A. Fasting blood glucose
B. Hemoglobin A1c
C. Thyroid function tests
D. Electrocardiograms
3. Adam has type I diabetes and plays tennis for his A. He should increase his
university. He exhibits a knowledge deficit about his CHO intake during times of
insulin and his diagnosis. He should be taught that: exercise.
A. He should increase his CHO intake during times of
, exercise.
B. Each brand of insulin is equal in bioavailability, so
buy the least expensive.
C. Alcohol produces hypoglycemia and can help con-
trol his diabetes when taken in small amounts.
D. If he does not want to learn to give himself in-
jections, he may substitute an oral hypoglycemic to
control his diabetes.
4. Lispro is an insulin analogue produced by recombinant B. The duration of action is
deoxyribonucleic acid (DNA) technology. Which of the increased when the dose
following statements about this form of insulin is not is increased.
true?
A. The optimal time of preprandial injection is fifteen
minutes.
B. The duration of action is increased when the dose is
increased.
C. It is compatible with NPH insulin.
D. It has no pronounced peak.
5. Unlike most type II diabetics where obesity is a major B. Involuntary loss of 10%
issue, older adults with low body weight have higher of body weight in less than
risks for morbidity and mortality. The most reliable six months
indicator of poor nutritional status in older adults is:
A. Weight loss in previously overweight persons
B. Involuntary loss of 10% of body weight in less than
six months
C. Decline in lean body mass over a twelve-month pe-
riod
D. Increase in central versus peripheral body adiposity
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