Diabetes Case Study: Managing Type 2 Diabetes

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What is the primary reason for the patient's elevated postprandial glucose levels?

Insufficient inhibition of hepatic glucose output
Excessive catabolic actions of other hormones on nutrient metabolism
Unbalanced anabolic actions of insulin on nutrient metabolism
Inadequate insulin secretion in response to nutrient metabolism (correct)

What is the significance of the patient's glycosylated hemoglobin (A1C) level of 7.2%?

It is higher than his previous values, indicating deterioration in glucose control (correct)
It indicates a recent improvement in glucose control
It is a normal value for a diabetic patient
It suggests a stable glucose control over the past 2 years

What is the primary goal of the patient's consistent carbohydrate diet based on exchange lists?

To regulate blood sugar levels (correct)
To manage insulin resistance
To achieve weight loss
To improve overall nutritional intake

What is the main reason for the patient's desire to avoid multiple insulin injections?

Inconvenience and perceived burden of multiple injections (D) Signup and view all the answers

What is the significance of the patient's early background retinopathy?

It is a complication of uncontrolled diabetes (A) Signup and view all the answers

What is the primary focus of this collection of clinical case studies?

Examining the role of postprandial glucose in overall glucose control (A) Signup and view all the answers

What is postprandial hyperglycaemia defined as?

An excessive increase in blood sugar following a meal (C) Signup and view all the answers

Why is postprandial glucose control challenging in diabetes management?

Because it is often associated with poor glycemic control and devastating complications (A) Signup and view all the answers

What is a common cause of hyperglycemia in diabetes management?

Food intake (D) Signup and view all the answers

What is the benefit of carbohydrate counting in diabetes management?

It helps to develop dietary self-control (C) Signup and view all the answers

What is the role of insulin dosing strategies in diabetes management?

To improve glycemic control (B) Signup and view all the answers

What is the primary factor that accounts for about 50% of the variation in postprandial blood glucose?

Carbohydrate content of the meal (D) Signup and view all the answers

What is the primary goal of achieving optimal postprandial glucose control?

To improve overall quality of life (C) Signup and view all the answers

What is the key to optimization in postprandial glucose control?

Insulin dosage (A) Signup and view all the answers

What is the primary benefit of using carbohydrate counting in diabetes management?

Flexibility in food choices (D) Signup and view all the answers

What is the primary challenge in determining the appropriate insulin dosage?

Variability in insulin sensitivity (B) Signup and view all the answers

What is the primary benefit of using insulin pumps in diabetes management?

Better postprandial glucose control (C) Signup and view all the answers

What is the recommended target range for postprandial blood glucose levels?

4-7 mmol/l (A) Signup and view all the answers

What is the primary factor that influences the required insulin dose?

Insulin sensitivity (D) Signup and view all the answers

What is the primary benefit of using continuous glucose monitoring systems in diabetes management?

Better postprandial glucose control (C) Signup and view all the answers

What is the primary reason for adjusting insulin-to-carbohydrate ratios in diabetes management?

To achieve optimal postprandial glucose control (D) Signup and view all the answers