Diabetes 101

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Which type of diabetes is characterized by insulin deficiency and is formerly known as Type I Insulin Dependent DM?

Type 1 DM

Which type of diabetes is a combined insulin resistance and relative deficiency in insulin secretion?

Type 2 DM

Which of the following is a risk factor for Type 2 DM?

Family history

Which type of diabetes is characterized by developing during pregnancy but usually disappears after pregnancy?

Gestational Diabetes Mellitus (GDM)

What are the general approaches to Type 2 DM treatment?

Diet and exercise modification

What are the desired outcomes of Type 2 DM treatment?

Reduce risk of complications

Which one of the following is a pharmacological effect of biguanides like Metformin?

Increases peripheral glucose utilization

Which medication stimulates the pancreatic secretion of insulin?

Sulfonylureas

Which one of the following is an adverse effect of biguanides like Metformin?

Nausea, vomiting, diarrhea, and anorexia

Which one of the following is a pharmacological effect of glitazones (PPARγ agonists)?

Reduces insulin resistance in the periphery

Which type of diabetes is characterized by insulin deficiency and is formerly known as Type I Insulin Dependent DM?

Type 1 DM

Which one of the following is a pharmacological effect of α-glucosidase inhibitors like Acarbose?

Prevents the breakdown of sucrose and complex carbohydrates

What is the classification of Gestational Diabetes Mellitus (GDM)?

Gestational Diabetes Mellitus (GDM)

What is the classification of Type 2 DM?

Type 2 DM

What is the etiology of Type 1 Diabetes?

Autoimmune process

What is the etiology of Type 2 Diabetes?

Tissue resistance to insulin

What are the characteristics of Type 1 Diabetes?

Usually < 30 years old

What are the characteristics of Type 2 Diabetes?

Insulin is low, normal or high

What is the pathogenesis of Type 1 Diabetes?

Autoimmune process

What is the pathogenesis of Type 2 Diabetes?

Tissue resistance to insulin

Which type of diabetes is characterized by moderate to severe symptoms such as 3Ps, fatigue, weight loss, and ketoacidosis?

Type 1 DM

Which one of the following is a pharmacological effect of biguanides like Metformin?

Increases peripheral glucose utilization

Which one of the following is an adverse effect of glitazones (PPARγ agonists)?

Edema and weight gain

Which one of the following is a pharmacological effect of α-glucosidase inhibitors like Acarbose?

Inhibits breakdown of sucrose and complex carbohydrates

Which one of the following is an unwanted effect of sulfonylureas?

Hypoglycemia

Which one of the following is a pharmacological effect of meglitinides?

Stimulates the release of insulin from the pancreas

Which one of the following is an adverse effect of glucosidase inhibitors like Acarbose?

Nausea, vomiting, and diarrhea

Which one of the following is an adverse effect of thiazolidinediones (TZDs)?

Edema and weight gain

Which one of the following is a pharmacological effect of GLP-1 agonists?

Stimulates the release of insulin from the pancreas

Which one of the following is an adverse effect of DPP-4 inhibitors?

Nausea, vomiting, and diarrhea

Which one of the following is an adverse effect of SGLT2 inhibitors?

Hypoglycemia

Which one of the following is a second-generation sulfonylurea drug used in the treatment of Type 2 DM?

Glipizide

Which one of the following is a major adverse effect associated with sulfonylurea drugs?

Hypoglycemia

Which one of the following is a short-acting secretagogue used in the treatment of Type 2 DM?

Repaglinide

Which one of the following is a major adverse effect associated with short-acting secretagogues?

Hypoglycemia

Which one of the following is a pharmacological effect of biguanides like metformin?

Increased cellular uptake of glucose

Which one of the following is a major adverse effect associated with biguanides like metformin?

Lactic acidosis

Which one of the following is a risk factor for developing Type 2 DM?

Habitual physical inactivity

Which one of the following is a pharmacological effect of glitazones (PPARγ agonists)?

Improved insulin sensitivity

Which one of the following is a general approach to the treatment of Type 2 DM?

Dietary and exercise modification

Which one of the following is a pharmacological effect of α-glucosidase inhibitors like acarbose?

Decreased glucose absorption from the diet

Which one of the following is a major adverse effect associated with sulfonylurea drugs?

Hypoglycemia

What is the duration of action for chlorpropamide, a first-generation sulfonylurea drug?

24-60 hours

Which one of the following medications stimulates the pancreatic secretion of insulin?

Meglitinides

What is the pharmacological effect of biguanides like metformin?

Inhibition of hepatic glucose production

What is the pharmacological effect of α-glucosidase inhibitors like acarbose?

Delay of glucose absorption from the gut

What is the major adverse effect associated with short-acting secretagogues like repaglinide and nateglinide?

Hypoglycemia

What is the pharmacological effect of glitazones (PPARγ agonists) like rosiglitazone and pioglitazone?

Enhancement of insulin sensitivity

What are the desired outcomes of Type 2 DM treatment?

Reduce the risk of microvascular and macrovascular disease complications

What is the classification of Gestational Diabetes Mellitus (GDM)?

Type 2 Diabetes

Which one of the following is a risk factor for developing Type 2 DM?

Obesity

Which one of the following is a pharmacological effect of biguanides like Metformin?

Reduces hepatic glucose production

Which one of the following is an adverse effect of biguanides like Metformin?

Nausea and vomiting

Which one of the following is a pharmacological effect of glitazones (PPARγ agonists)?

Reduces insulin resistance in the periphery

Which one of the following is an adverse effect of glitazones (PPARγ agonists)?

Weight gain

Which one of the following is a pharmacological effect of α-glucosidase inhibitors like Acarbose?

Prevents breakdown of sucrose and complex carbohydrates

Which one of the following is an adverse effect of α-glucosidase inhibitors like Acarbose?

Flatulence and diarrhea

Which one of the following is a pharmacological effect of sulfonylureas?

Promotes enhanced insulin release from the pancreas

Which one of the following is an adverse effect of sulfonylureas?

Hypoglycemia

Which one of the following is a pharmacological effect of GLP-1 agonists?

Increases pancreatic secretion of insulin

Which one of the following is an adverse effect of DPP-4 inhibitors?

Urinary tract infections

Which type of diabetes is characterized by insulin deficiency and is formerly known as Type I Insulin Dependent DM?

Type 1 DM

What is the classification of Gestational Diabetes Mellitus (GDM)?

Gestational Diabetes Mellitus (GDM)

What is the etiology of Type 1 Diabetes?

Autoimmune process

What is the etiology of Type 2 Diabetes?

Tissue resistance to insulin

Which one of the following is a risk factor for developing Type 2 DM?

Increased HGO

What are the characteristics of Type 1 Diabetes?

5-10% prevalence, usually < 30 years old, insulin is low, normal or high

What are the characteristics of Type 2 Diabetes?

90% prevalence, usually > 40 years old, insulin is low, normal or high

What is the pathogenesis of Type 1 Diabetes?

Autoimmune process

What is the pathogenesis of Type 2 Diabetes?

Tissue resistance to insulin

Which one of the following is an adverse effect of biguanides like Metformin?

Lactic acidosis

Which type of diabetes is characterized by insulin deficiency and is formerly known as Type I Insulin Dependent DM?

Type 1 Diabetes Mellitus

What is the major adverse effect associated with short-acting secretagogues like repaglinide and nateglinide?

Early postprandial hypoglycemia

What is the classification of Gestational Diabetes Mellitus (GDM)?

Type 3 Diabetes Mellitus

Which one of the following is a rapid-acting insulin?

Lispro

Which one of the following is an intermediate-acting insulin?

NPH

Which one of the following is a method of insulin administration?

All of the above

Which one of the following is a long-acting insulin?

Glargine

Which one of the following is a potential adverse effect of sulfonylurea drugs?

Hypoglycemia

Which one of the following is a potential adverse effect of metformin?

Lactic acidosis

Which one of the following is a potential adverse effect of glitazones (PPARγ agonists)?

Fluid retention

Which one of the following is a potential adverse effect of short-acting secretagogues?

Hypoglycemia

Which one of the following is an adverse effect of SGLT2 inhibitors like Canagliflozin?

Pancreatitis

What is the duration of action for Exenatide, a glucagon-like peptide agonist?

2-3 days

Which one of the following is a risk factor for developing Type 2 Diabetes?

Obesity

Which one of the following is a major adverse effect associated with DPP-4 inhibitors like Sitagliptin?

Vulvovaginal candidiasis

Which type of diabetes requires the administration of insulin?

Type 1 Diabetes

When is insulin indicated in Type 2 Diabetes?

During surgery

Which unit is used to measure insulin concentration?

Units/ml

Which type of insulin has a short half-life?

Short-acting insulin

What is the primary insulin binding site?

Alpha unit

What is the primary function of the beta unit of insulin?

Tyrosine kinase activity

When should insulin be administered before a meal?

30 minutes

Which one of the following is a rapid-acting insulin?

Lispro

Which one of the following is an intermediate-acting insulin?

NPH

Which one of the following is a long-acting insulin?

Glargine

Which one of the following is a potential adverse effect of metformin?

Weight gain

Which one of the following is a risk factor for developing Type 2 Diabetes?

Phenytoin

What is the classification of Type 2 DM?

Non-insulin-dependent

What is the major adverse effect associated with sulfonylurea drugs?

Hypoglycemia

Which one of the following is a potential adverse effect of sulfonylurea drugs?

Hypoglycemia

What is the pharmacological effect of glitazones (PPARγ agonists) like rosiglitazone and pioglitazone?

Increase insulin receptor sensitivity

What is the major adverse effect associated with short-acting secretagogues like repaglinide and nateglinide?

Hypoglycemia

Which one of the following is a major adverse effect associated with biguanides like metformin?

Lactic acidosis

Which one of the following is a potential adverse effect of glitazones (PPARγ agonists)?

Fluid retention

What is the classification of Gestational Diabetes Mellitus (GDM)?

Type 2 Diabetes

What is the pharmacological effect of α-glucosidase inhibitors like Acarbose?

Delay carbohydrate digestion and absorption

Which one of the following is an adverse effect associated with SGLT2 inhibitors?

Edema

What is the pharmacological effect of glitazones (PPARγ agonists) like rosiglitazone and pioglitazone?

Reduce insulin resistance in the periphery

Which one of the following is an adverse effect of DPP-4 inhibitors?

Hepatotoxicity

What is the major adverse effect associated with sulfonylurea drugs?

Hypoglycemia

What is the classification of Gestational Diabetes Mellitus (GDM)?

Type 2 Diabetes

What is the pathogenesis of Type 2 Diabetes?

Insulin resistance and relative deficiency in insulin secretion

Which one of the following is a potential adverse effect of glitazones (PPARγ agonists)?

Hepatotoxicity

Which one of the following is a pharmacological effect of biguanides like Metformin?

Increase tissue insulin sensitivity

What are the characteristics of Type 1 Diabetes?

Insulin deficiency and autoimmune destruction of pancreatic beta cells

Which of the following is a potential indication for giving insulin in Type 2 Diabetes?

Uncontrolled glucose level for any reason

Which of the following is true about the structure of insulin?

It has alpha and beta units

Which of the following is the primary insulin binding site?

Alpha unit

What is the half-life of insulin?

Short, only few minutes

What is the recommended time to take insulin before meals?

30 minutes

If a patient takes insulin during eating, instead of before eating, what is likely to happen?

Early postprandial hypoglycemia

What is likely to happen to a person who is hungry and doesn't take their insulin shot?

High blood glucose levels

Which one of the following is a rapid-acting insulin?

Lispro

Which one of the following is an intermediate-acting insulin?

NPH

Which one of the following is a long-acting insulin?

Glargine

Which one of the following methods of insulin administration involves continuous subcutaneous administration of short-acting insulin using a small pump?

Insulin Pumps

Which one of the following is the recommended starting dose of insulin for a patient with Type 1 DM?

0.6 U/kg/day

For a 50 kg patient with Type 1 DM, what would be the total daily dose of insulin?

30 U/day

What percentage of the total daily dose of insulin is recommended for basal insulin in a patient with Type 1 DM?

45%

Which one of the following is a potential adverse effect of sulfonylurea drugs?

Hypoglycemia

What is the major adverse effect associated with biguanides like Metformin?

Lactic acidosis

What is the pharmacological effect of α-glucosidase inhibitors like Acarbose?

Inhibition of carbohydrate digestion

What is the pharmacological effect of glitazones (PPARγ agonists) like rosiglitazone and pioglitazone?

Increase in insulin receptor sensitivity

Which one of the following is a major adverse effect associated with short-acting secretagogues?

Hypoglycemia

Which one of the following is a potential adverse effect of metformin?

Diarrhea

Which one of the following is a potential adverse effect of glitazones (PPARγ agonists)?

Fluid retention

Which one of the following is an adverse effect associated with glitazones (PPARγ agonists)?

Hepatotoxicity

Which one of the following is a potential adverse effect of DPP-4 inhibitors?

Flatulence

Which one of the following is the primary function of the beta unit of insulin?

Regulation of glucose metabolism

Which one of the following is a risk factor for developing Type 2 Diabetes?

Obesity

Which one of the following is a pharmacological effect of GLP-1 agonists?

Inhibition of glucagon secretion

Which one of the following is a potential adverse effect of sulfonylurea drugs?

Hypoglycemia

Which one of the following is a potential adverse effect of metformin?

Lactic acidosis

Which one of the following is an adverse effect of SGLT2 inhibitors like Canagliflozin?

Polyuria

Which one of the following is a rapid-acting insulin?

Insulin lispro

Test your knowledge on diabetes with this quiz! Explore the regulation of plasma glucose levels, the role of insulin in reducing glucose levels, and the classification of diabetes. Learn about Type 1 and Type 2 diabetes and discover key facts about this chronic condition.

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