2023 ADA Diabetes Standard of Care Quiz

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Questions and Answers

What are the objectives mentioned in the text?

Discuss the history of diabetes mellitus
Explore the genetic factors of diabetes mellitus
Examine the body’s response to hyperglycemia
Evaluate clinical assessment tools for diabetes mellitus (correct)

How can blood glucose concentrations be measured?

Only in the fasting state
Fasting or post-prandial state (correct)
Only in the post-prandial state
Randomly throughout the day

What are the therapeutic agents that can increase blood glucose values?

Aspirin, Vitamin C
Corticosteroids, Niacin (correct)
Insulin, Metformin
Antibiotics, Antihistamines

What characterizes Type 1 Diabetes Mellitus?

Autoimmune condition, insulin dependency (C) Signup and view all the answers

What is a characteristic of Type 2 Diabetes Mellitus?

Lifestyle factors, typically seen in adulthood (A) Signup and view all the answers

What is the body's response to hyperglycemia?

Compensatory mechanisms (D) Signup and view all the answers

What can elevate blood glucose concentrations and predispose to infections?

Corticosteroids (D) Signup and view all the answers

What are the methods of prevention for Type 2 Diabetes Mellitus?

Lifestyle modifications, exercise, and healthy diets (D) Signup and view all the answers

What is the role of glucagon in blood glucose regulation?

It increases blood glucose levels (B) Signup and view all the answers

What is the main difference between diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic states (HHS)?

The type of metabolic acidosis present (A) Signup and view all the answers

What is the autoimmune target in Type 1 Diabetes Mellitus?

Beta-cells in the pancreas (A) Signup and view all the answers

What is the genetic predisposition associated with Type 2 Diabetes Mellitus?

Family history of diabetes (B) Signup and view all the answers

Which diagnostic criteria are used for pre-diabetes and diabetes?

Fasting plasma glucose, 2 hr plasma glucose, A1C levels (D) Signup and view all the answers

What are the primary assessment techniques for glycemic targets?

Self-monitoring of blood glucose (SMBG), A1c testing (B) Signup and view all the answers

When is gestational diabetes diagnosed?

2nd or 3rd trimester of pregnancy (A) Signup and view all the answers

Which individuals mostly form ketones?

T1DM individuals (A) Signup and view all the answers

What are the acute complications of diabetes mellitus?

Hyperosmotic hyperglycemic state (HHS), Diabetic Ketoacidosis (DKA) (D) Signup and view all the answers

What does comprehensive management of DKA and HHS involve?

Insulin infusion, fluid replacement options, monitoring for electrolyte abnormalities (D) Signup and view all the answers

What is a potential complication secondary to DKA?

Hypovolemia (C) Signup and view all the answers

What does a knowledge check question address in the text?

Selection of an appropriate antidepressant for a patient with uncontrolled T2DM (C) Signup and view all the answers

What are the key points from the comprehensive management of DKA schematic?

Insulin infusion, serum sodium correction, monitoring medications that can lead to hyperglycemia (B) Signup and view all the answers

What does the text highlight regarding sodium levels in hyperglycemic conditions?

Changes in sodium levels (A) Signup and view all the answers

What does a knowledge check question address regarding electrolyte abnormalities?

Electrolyte abnormalities associated with uncontrolled hyperglycemia (B) Signup and view all the answers

What does the text provide a disclaimer about?

The proper selection of an antidepressant (A) Signup and view all the answers

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Study Notes

American Diabetes Association: Standard of Care in Diabetes – 2023

Diagnostic criteria for pre-diabetes and diabetes include fasting plasma glucose, 2 hr plasma glucose, and A1C levels.
Primary assessment techniques for glycemic targets involve self-monitoring of blood glucose (SMBG) and A1c testing.
Childhood screening for T2DM is recommended.
Gestational diabetes is diagnosed during the 2nd or 3rd trimester of pregnancy and was not identified as diabetes prior to pregnancy.
Ketones mostly form in T1DM individuals, and examples of ketone bodies include acetoacetate, beta-hydroxybutyrate, and acetone.
Acute complications of diabetes mellitus include hyperosmotic hyperglycemic state (HHS) and Diabetic Ketoacidosis (DKA).
Comprehensive management of DKA and HHS involves insulin infusion, fluid replacement options, and monitoring for electrolyte abnormalities.
A knowledge check question addresses the selection of an appropriate antidepressant for a patient with uncontrolled T2DM.
Key points from the comprehensive management of DKA schematic include insulin infusion, serum sodium correction, and monitoring medications that can lead to hyperglycemia.
Hypovolemia is noted as a potential complication secondary to DKA.
Changes in sodium levels in hyperglycemic conditions are highlighted, and a knowledge check question addresses electrolyte abnormalities associated with uncontrolled hyperglycemia.
The text provides a disclaimer regarding the proper selection of an antidepressant, emphasizing that more information would be required for a recommendation.