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</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</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</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</p> Signup and view all the answers

    Why is education crucial in certain cultural situations?

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

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

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

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

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

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