Diabetes Quiz: Type 1 and Type 2 Understanding

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Questions and Answers

What is the most common cause of hypoglycemia in patients with Type 1 diabetes?

  • Excess insulin (correct)
  • Inadequate dietary intake
  • Strenuous exercise
  • Viral infections

Which of the following symptoms is commonly experienced in Type 2 diabetes?

  • Excessive thirst (correct)
  • Excessive eating
  • Rapid weight loss
  • Autoimmune responses

What blood glucose level is commonly accepted for diagnosing Type 2 diabetes?

  • 100 mg/dL
  • 150 mg/dL
  • 200 mg/dL
  • 126 mg/dL (correct)

Why should patients with Type 1 diabetes monitor blood glucose levels after strenuous exercise?

<p>To avoid hypoglycemia (D)</p> Signup and view all the answers

Which factor does NOT contribute to the development of Type 2 diabetes?

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

What is the renal threshold for glucose reabsorption?

<p>180 mg/dl (C)</p> Signup and view all the answers

Which of the following is NOT a classical symptom of diabetes mellitus?

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

Which complication is associated with long-standing high blood glucose levels?

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

What characterizes Type I diabetes mellitus?

<p>Absolute deficiency of insulin (A)</p> Signup and view all the answers

What is a potential consequence of increased glucose levels in blood vessels?

<p>Altered blood vessel structure (D)</p> Signup and view all the answers

What test is recommended when the diagnosis of type 1 diabetes is uncertain?

<p>Testing for circulating islet-cell antibodies (A)</p> Signup and view all the answers

What is the primary cause of hyperglycemia in type 1 diabetes?

<p>Increased hepatic production of glucose combined with diminished peripheral utilization (D)</p> Signup and view all the answers

Which of the following best describes diabetic ketoacidosis (DKA)?

<p>A type of metabolic acidosis occurring in approximately 25-40% of newly diagnosed type 1 diabetes patients (D)</p> Signup and view all the answers

What condition arises from the excess fatty acids in diabetes that cannot be oxidized or converted into ketone bodies?

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

What percentage of type 2 diabetes cases are associated with obesity?

<p>66.7% (A)</p> Signup and view all the answers

What is the primary effect of metformin in the management of type 2 diabetes?

<p>Inhibits hepatic gluconeogenesis (B)</p> Signup and view all the answers

Which of the following is a diagnostic criteria for diabetes?

<p>2-h post prandial value in venous plasma ≥ 200 mg/dL (B)</p> Signup and view all the answers

What characterizes dyslipidemia in individuals with type 2 diabetes?

<p>Accumulation of triacylglycerols in the liver (D)</p> Signup and view all the answers

What defines impaired fasting glucose (IFG)?

<p>Fasting glucose range of 100-125 mg/dL (C)</p> Signup and view all the answers

What is typically minimal or absent in patients with type 2 diabetes?

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

What age is most commonly associated with the onset of type 1 diabetes?

<p>During childhood or puberty (C)</p> Signup and view all the answers

Which of the following symptoms is NOT typically associated with type 1 diabetes?

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

What is the characteristic plasma insulin level in individuals with type 1 diabetes?

<p>Low to absent (C)</p> Signup and view all the answers

What is the primary method of treatment required for individuals diagnosed with type 1 diabetes?

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

Type 2 diabetes is characterized by what type of insulin-related condition?

<p>Insulin resistance with low insulin production (A)</p> Signup and view all the answers

Which acute complication is most commonly associated with type 1 diabetes?

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

What role do oral hypoglycemic drugs play in the treatment of type 1 diabetes?

<p>They have no effect (D)</p> Signup and view all the answers

In which condition is ketosis more likely to occur?

<p>Type 1 diabetes (D)</p> Signup and view all the answers

Flashcards

Renal Glucose Reabsorption

The process by which the kidneys filter glucose from the blood and return it to the bloodstream.

Renal Threshold

The maximum amount of glucose the kidneys can reabsorb per unit of time.

Diabetes Mellitus

A condition characterized by high blood glucose levels due to insufficient insulin production or resistance.

Type 1 Diabetes

A type of diabetes that typically develops in childhood and is characterized by an absolute lack of insulin production.

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Type 2 Diabetes

A type of diabetes that typically develops in adulthood and is characterized by insulin resistance, where cells do not respond properly to insulin.

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What are the typical symptoms of type 1 diabetes?

The onset of type 1 diabetes is typically during childhood or puberty, characterized by sudden development of frequent urination, excessive thirst, and excessive hunger, often triggered by stress or illness.

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How is type 1 diabetes diagnosed?

A fasting blood glucose (FBG) greater than or equal to 126 mg/dl, accompanied by ketoacidosis, confirms the diagnosis.

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What is ketoacidosis?

A dangerous condition that occurs in people with type 1 diabetes when the body produces ketones as a result of not having enough insulin.

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Describe the typical onset and symptoms of type 2 diabetes.

Usually develops after age 35, symptoms develop gradually, often with obesity present.

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What is insulin resistance?

Insulin resistance occurs when cells do not respond properly to insulin, resulting in a combination of resistance and decreased production.

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What is the effect of hyperglycemia in type 1 diabetes?

High blood glucose levels cause the body to produce excess ketones, often resulting in a life-threatening condition called ketoacidosis.

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What is the most common acute complication of type 2 diabetes?

Hyperosmolar state is a condition where the blood sugar levels are extremely high, resulting in dehydration.

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What are some essential aspects of type 2 diabetes management?

Reduction of risk factors like smoking cessation, blood pressure control, and treatment of dyslipidemia is crucial.

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Diabetic Ketoacidosis (DKA)

A type of metabolic acidosis that develops in 25-40% of newly diagnosed type 1 diabetics due to increased fat breakdown and insufficient insulin, leading to high blood sugar and ketone build-up.

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Hyperglycemia in type 1 diabetes

In type 1 diabetes, the liver produces excess glucose, and muscle and fat don't take up glucose efficiently due to lack of insulin, leading to high blood sugar.

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Ketogenesis in type 1 diabetes

When the body lacks insulin, it turns to stored fat for energy, producing ketones as a byproduct. Elevated ketone levels in the blood can lead to metabolic acidosis.

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Hypertriacylglycerolemia in type 1 diabetes

Increased fat breakdown in type 1 diabetes leads to high levels of fatty acids. The liver converts excess fatty acids into triglycerides, packaged into VLDL, and released into the blood, contributing to high levels in the bloodstream (hypertriacylglycerolemia).

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Lipoprotein lipase deficiency in type 1 diabetes

The enzyme lipoprotein lipase, responsible for breaking down fats in the blood, is less active in diabetics due to low insulin levels. This contributes to elevated chylomicron and VLDL levels, resulting in hypertriacylglycerolemia.

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What is hypoglycemia?

A condition caused by low blood sugar levels, often due to excessive insulin in those with type 1 diabetes. It can also happen after strenuous exercise, as muscles use more glucose.

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What is polyuria?

A condition characterized by excessive urination, typically seen in individuals with type 2 diabetes, although it can also occur in other states like hyperglycemia.

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What is polydipsia?

A condition characterized by excessive thirst, which is a common symptom of type 2 diabetes.

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Dyslipidemia in type 2 diabetes

A type of fat buildup in the blood characterized by high levels of triglycerides and low levels of HDL cholesterol.

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Metformin

A medication that lowers blood sugar by inhibiting the liver's production of glucose.

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Prediabetes

A condition where blood sugar levels are elevated, but not high enough to be diagnosed as diabetes. It is a precursor to diabetes.

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HbA1c

A measure of average blood sugar control over the past 2-3 months. A high HbA1c indicates poor blood sugar control.

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