Diabetes Complications Quiz2

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Questions and Answers

Which of the following is the most common chronic complication of diabetes?

  • Coronary artery disease
  • Diabetic nephropathy
  • Peripheral neuropathy (correct)
  • Diabetic retinopathy

Which of the following is a hallmark of diabetic retinopathy?

  • Microaneurysms in the retina (correct)
  • Glaucoma
  • Proteinuria
  • Hematuria

What is the leading cause of end-stage renal disease (ESRD) in diabetic patients?

  • Hyperlipidemia
  • Hypertension
  • Diabetic nephropathy (correct)
  • Obesity

Which of the following is a common clinical sign of diabetic neuropathy?

<p>Loss of sensation in the extremities (A)</p> Signup and view all the answers

Which of the following is a macrovascular complication of diabetes?

<p>Coronary artery disease (C)</p> Signup and view all the answers

What is the primary intervention to prevent diabetic foot ulcers?

<p>Daily foot inspections and proper foot care (D)</p> Signup and view all the answers

Which of the following medications is commonly used to manage neuropathic pain in diabetic patients?

<p>Amitriptyline (A)</p> Signup and view all the answers

Which of the following is the best screening test for diabetic nephropathy?

<p>Urine microalbumin test (A)</p> Signup and view all the answers

Which of the following is a key preventive strategy for cardiovascular complications in diabetic patients?

<p>Aggressive lipid management (C)</p> Signup and view all the answers

Which of the following complications is most directly associated with poor glycemic control?

<p>Diabetic retinopathy (A)</p> Signup and view all the answers

Which of the following symptoms is an early indicator of diabetic nephropathy?

<p>Microalbuminuria (C)</p> Signup and view all the answers

Which medication class is recommended to reduce proteinuria in diabetic nephropathy?

<p>ACE inhibitors (C)</p> Signup and view all the answers

Which of the following is a common adverse effect of metformin in diabetic patients?

<p>Gastrointestinal upset (B)</p> Signup and view all the answers

Which of the following is a potential benefit of GLP-1 agonists in diabetes management?

<p>Weight loss (C)</p> Signup and view all the answers

Which of the following is a common adverse effect of SGLT2 inhibitors?

<p>Urinary tract infections (D)</p> Signup and view all the answers

What is the primary purpose of self-monitoring of blood glucose (SMBG) in diabetic patients?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a key factor in the development of macrovascular complications in diabetes?

<p>Hyperglycemia (D)</p> Signup and view all the answers

Which of the following is recommended to reduce the risk of progression in diabetic nephropathy?

<p>Intensive blood glucose control (D)</p> Signup and view all the answers

Which of the following is a feature of proliferative diabetic retinopathy?

<p>Neovascularization (A)</p> Signup and view all the answers

What are the primary microvascular complications of diabetes?

<p>Retinopathy, nephropathy, and neuropathy.</p> Signup and view all the answers

Explain the role of ACE inhibitors in the management of diabetic nephropathy.

<p>ACE inhibitors reduce blood pressure and proteinuria, slowing the progression of diabetic nephropathy.</p> Signup and view all the answers

Describe the importance of self-monitoring blood glucose (SMBG) in patients with diabetes.

<p>SMBG is important for detecting and managing hypoglycemia and hyperglycemia, guiding treatment adjustments, and improving overall glycemic control.</p> Signup and view all the answers

What is the significance of microalbuminuria in the early detection of diabetic nephropathy?

<p>Microalbuminuria is an early marker of kidney damage in diabetic patients and indicates the need for more intensive management to prevent the progression of nephropathy.</p> Signup and view all the answers

Flashcards

Peripheral Neuropathy

Most common chronic diabetes complication, affecting the peripheral nerves.

Microaneurysms

Small aneurysms in the retina, a key indicator of diabetic retinopathy.

Diabetic Nephropathy

The primary cause of end-stage renal disease in diabetic patients.

Diabetic Neuropathy Sign

Often involves loss of sensation, especially in the extremities.

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Coronary Artery Disease

A major macrovascular complication, affecting the heart's blood supply.

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Daily Foot Inspections

Essential for preventing diabetic foot ulcers.

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Amitriptyline

A medication often used to manage neuropathic pain in diabetic patients.

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Urine Microalbumin Test

Crucial for early detection of diabetic kidney disease.

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Aggressive Lipid Management

Reduces cardiovascular events.

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Poor Glycemic Control

Closely linked to the development of diabetic retinopathy.

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Microalbuminuria

Indicates early kidney damage.

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ACE Inhibitors

Reduce protein in urine and slow nephropathy progression.

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Metformin Adverse Effect

Stomach upset is a common side effect.

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Weight Loss (GLP-1)

A helpful benefit that helps manage diabetes.

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SGLT2 Inhibitors Effect

These increase chances of UTIs.

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SMBG Benefits

Helps identify high and low glucose levels, which is essential for therapy adjustments.

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Hyperglycemia Role

Significant in developing macrovascular issues.

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Blood Glucose Recommendation

Reduces risk of nephropathy progression.

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Neovascularization

Characteristic of severe eye damage.

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Study Notes

Diabetes Complications Overview

  • Peripheral neuropathy is the most prevalent chronic complication of diabetes.
  • Key indicator of diabetic retinopathy includes microaneurysms found in the retina.
  • Diabetic nephropathy is the leading cause of end-stage renal disease (ESRD) in patients with diabetes.
  • A common clinical sign of diabetic neuropathy is the loss of sensation in extremities.
  • Coronary artery disease represents a major macrovascular complication in diabetes.

Prevention and Management Strategies

  • Daily foot inspections and proper foot care are essential interventions to prevent diabetic foot ulcers.
  • Amitriptyline is frequently prescribed for managing neuropathic pain in diabetic patients.
  • The urine microalbumin test is crucial for screening diabetic nephropathy effectively.
  • Aggressive lipid management is a key strategy to prevent cardiovascular complications in diabetes.
  • Poor glycemic control closely correlates with the development of diabetic retinopathy.
  • Microalbuminuria serves as an early indicator of diabetic nephropathy, highlighting potential kidney damage.
  • ACE inhibitors are recommended to reduce proteinuria and slow diabetic nephropathy progression.

Medication Effects and Benefits

  • Gastrointestinal upset is a common adverse effect associated with metformin usage.
  • Weight loss is a notable benefit of GLP-1 agonists in managing diabetes.
  • SGLT2 inhibitors are known to increase the risk of urinary tract infections as an adverse effect.

Self-Monitoring and Macrovascular Concerns

  • Self-monitoring of blood glucose (SMBG) helps identify both hypoglycemia and hyperglycemia, essential for guiding therapy adjustments.
  • Hyperglycemia plays a significant role in the development of macrovascular complications in diabetes.

Risk Reduction and Neovascularization

  • Intensive blood glucose control is recommended to reduce the risk of progression in diabetic nephropathy.
  • Neovascularization is a characteristic feature of proliferative diabetic retinopathy, indicating severe retinal changes.

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