Diabetes Management: Postprandial Glucose Control
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Questions and Answers

What is the primary consequence of a mismatch in insulin to carbohydrate ratio in diabetes patients?

  • Retinopathy
  • Hypoglycemia
  • Postprandial hyperglycemia (correct)
  • Macrovascular disease

What is the term used to describe a high blood sugar level after a meal?

  • Postprandial hypoglycemia
  • Microvascular disease
  • Carbohydrate and calorie drift
  • Postprandial hyperglycemia (correct)

What is the potential outcome of improving postprandial glucose control in diabetes patients?

  • Decreased risk of microvascular disease (correct)
  • Increased risk of cardiovascular events
  • Increased risk of retinopathy
  • No impact on morbidity of diabetes complications

What is the mainstay of therapy for type 1 and type 2 diabetes patients?

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

What is the term used to describe a change in diet composition with insulin dose remaining constant?

<p>Carbohydrate and calorie drift (B)</p> Signup and view all the answers

What is the potential benefit of matching prandial insulin doses to carbohydrate content and providing correct basal insulin doses?

<p>Improved glucose control with minimized hypoglycemia frequency and severity (D)</p> Signup and view all the answers

What is the primary goal of balancing a patient's cultural dietary habits with overall good glucose control?

<p>To ensure effective insulin therapy (D)</p> Signup and view all the answers

Why is education crucial in certain cultural situations?

<p>To dispel beliefs that diabetes complications are inevitable (D)</p> Signup and view all the answers

What is a potential drawback of using mixed insulins in geriatric insulin dosing?

<p>Increased risk of hypoglycemia (A)</p> Signup and view all the answers

Why is it important to avoid high-risk regimens involving once or twice daily injections of premixed insulin?

<p>Due to the potential for poor injection administration (D)</p> Signup and view all the answers

What is the primary benefit of providing psychological and emotional support in insulin dosing?

<p>Addressing issues of control, autonomy, self-image, and fears of hypoglycemia (B)</p> Signup and view all the answers

What is the prevalence of diabetes mellitus in older adults aged 65-75 years?

<p>22.9% (A)</p> Signup and view all the answers

What is the role of diet diaries in insulin dosing?

<p>To get a good idea of the patient's eating patterns (D)</p> Signup and view all the answers

Why is it essential to maintain near-normal glycemia in diabetes patients?

<p>To prevent both microvascular and macrovascular complications (B)</p> Signup and view all the answers

What is the characteristic of insulin therapy that is commonly initiated in older patients with type 2 diabetes?

<p>Basal insulin or combination with oral hypoglycemic agents (B)</p> Signup and view all the answers

What is the consequence of aging on insulin sensitivity and secretory capacity?

<p>Decreased insulin sensitivity and secretory capacity (A)</p> Signup and view all the answers

What is the primary reason for adjusting insulin regimens during pregnancy?

<p>To address the changing insulin requirements (A)</p> Signup and view all the answers

What is the preferred treatment for achieving optimal diabetes control in Type 1 diabetes?

<p>Basal-bolus regimen (C)</p> Signup and view all the answers

What is the benefit of intensive insulin therapy in patients with acute stroke?

<p>Improved outcomes without increasing the risk of hypoglycemia (D)</p> Signup and view all the answers

What is the most precise and effective method of glycemic control in intensive care unit patients?

<p>Continuous intravenous insulin infusion (C)</p> Signup and view all the answers

What is the primary goal of insulin dosing in hospitalized patients with diabetes?

<p>To keep blood glucose levels below 10 mmol/L (C)</p> Signup and view all the answers

What is a common challenge in managing diabetes in outpatient settings?

<p>Patient fear and provider ignorance (C)</p> Signup and view all the answers

What is the benefit of rapid-acting insulin analogues in type 2 diabetes?

<p>Showed some promise in type 2 diabetes (B)</p> Signup and view all the answers

What is the potential benefit of smart insulin delivery in diabetes care?

<p>Revolutionizing the management of chronic diseases (A)</p> Signup and view all the answers

What is the consequence of failure to adjust insulin doses according to blood glucose concentrations in hospitalized patients?

<p>Increased risk of hypoglycemia (C)</p> Signup and view all the answers

What is the target blood glucose range for general medical and surgical patients?

<p>6-10 mmol/L (C)</p> Signup and view all the answers

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