ANSWERS GRADED A+
✔✔What is the prevalence of diabetes in different racial and ethnic groups? - ✔✔-
Native American 15.9%
- AA 13.2%
- Hispanic 12.8
✔✔State at least 3 major diabetes morbidities - ✔✔- 7th leading cause of death
- most frequent cause of kidney failure
- 60% of lower limb amputations
- doubles risk of peridontal disease
- doubles risk of depression
- increases susceptibility to illness
✔✔State the patterns of FBG and postprandial glucose in relation to diabetes
progression - ✔✔- postprandial glucose goes up over the years
- fasting glucose goes up over the years, but slower than postprandial
✔✔Explain the degree of beta cell death that is typical when diabetes is first diagnosed
- ✔✔50% of beta cell production
✔✔Describe the micro and macrovascular outcomes associated with landmark diabetes
studies - ✔✔- retinopathy
- nephropathy
- neuropathy
- microalbuminuria
✔✔State assessment techniques and treatment for peripheral neuropathy in patients
with diabetes - ✔✔
✔✔State the expected adult, pediatric, and pregnancy ADA target blood glucose levels
for fasting, 2 hour postprandial, and A1c - ✔✔Adult: FG: 70-130, 2hrPPD: <180, A1C:
<7%
Toddlers/Preschool: FG: 100-180, PPG: 110-200, A1C 7.5-8.5%
School Age: FG: 90-180, PPG: 100-180, A1C: <8%
Adolescents: FG: 90-130, PPG: 90-150, A1C: <7.5%
Gestational DM: FG: <95, 1hrPPG, <140, 2hrPPDG, <120
Pre-existing DM-Pregnancy: FG: 60-99, 1hrPPG: 100-129, keep A1C <6%
✔✔Plan the medical history for type 1 and Type 2 diabetes - ✔✔-Age & characteristics
of onset
-Eating patterns, nutritional status, physical activity
-Presence of common comorbidities
, -Screen for depression
-Hx of smoking, alcohol, substance use
-Diabetes education, self management
-Review of previous tx regimens & response to therapy (A1C)
-Results of glucose monitoring
-DKA frequency, severity, & cause
-Hypoglycemia episodes, s/s, cause
-Hx of HTN, lipids
-Microvascular complications (retinopathy, nephropathy, neuropathy)
-Macrovascular complications (CAD, Stroke, PAD)
✔✔State the risk factors for prediabetes, T2DM - ✔✔- PCOS
- acanthosis nigricans
- NAFLD
- BP>140/90
- HDL-C <35 mg/dl
- Triglycerides >250 mg/dl
- delivery of a baby >9 lbs
- GDM
- OSA
- night shift
- chronic glucocorticoid exposure
✔✔State the neurogenic symptoms of hypoglycemia - ✔✔- tremor
- palpitations
- anxiety
- sweating
- hunger
- paresthesias
✔✔State the consequences of neuroglycopenia as it relates to hypoglycemia - ✔✔-
cognitive impairment
- psychomotor abnormalities
- abnormal behavior
- seizure
- coma
- brain death
✔✔State how hypoglycemia affects can increase blood sugar - ✔✔- rebound
hyperglycemia
- brittle diabetes
✔✔Does hypoglycemia increase memory loss? - ✔✔Increased risk for dementia
✔✔How does hypoglycemia affect heart rhythm? - ✔✔- prolonged QT interval
- increased risk of dysrhythmias, sudden death