Diabetes Types and Complications Quiz
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Questions and Answers

What is the main characteristic of type 1 diabetes?

  • Destruction of pancreatic beta cells (correct)
  • Inflammation of pancreatic alpha cells
  • Impaired glucose uptake
  • Overproduction of insulin

What is thought to contribute to the destruction of beta cells in type 1 diabetes?

  • Hormonal imbalance
  • Genetic, immunologic, and environmental factors (correct)
  • Dietary factors alone
  • Physical inactivity

What do people inherit that contributes to the development of type 1 diabetes?

  • Pancreatic inflammation
  • Genetic predisposition (correct)
  • High blood sugar levels
  • Insulin resistance

What abnormal response is seen in type 1 diabetes?

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

What have been detected in people at the time of diagnosis and even several years before the development of clinical signs of type 1 diabetes?

<p>Autoantibodies against islet cells and endogenous insulin (A)</p> Signup and view all the answers

What is the role of human leukocyte antigen types in the development of type 1 diabetes?

<p>They are associated with genetic susceptibility (C)</p> Signup and view all the answers

What continues to be investigated as potential initiators of beta cell destruction in type 1 diabetes?

<p>Viruses or toxins (C)</p> Signup and view all the answers

What is the primary target of the autoimmune response in type 1 diabetes?

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

What is the role of endogenous insulin in type 1 diabetes?

<p>It is targeted by autoantibodies (D)</p> Signup and view all the answers

What is the evidence of an abnormal response in type 1 diabetes?

<p>Autoantibodies against normal tissues (D)</p> Signup and view all the answers

What is the recommended daily minimum of carbohydrates for women with gestational diabetes?

<p>175 g (C)</p> Signup and view all the answers

What percentage of women with gestational diabetes can control blood glucose levels with lifestyle modifications alone?

<p>70% to 80% (A)</p> Signup and view all the answers

What is the target range for blood glucose levels during pregnancy for women with gestational diabetes?

<p>140 to 180 mg/dL (7.8 to 10 mmol/L) (D)</p> Signup and view all the answers

How often should women with a history of gestational diabetes be screened for the development of diabetes or prediabetes?

<p>Every 3 years (C)</p> Signup and view all the answers

What should women at high or average risk for gestational diabetes have if they exceed the glucose threshold value of 140 mg/dL (7.8 mmol/L)?

<p>Oral glucose tolerance test (C)</p> Signup and view all the answers

What is the first step in the initial management for women at high or average risk for gestational diabetes?

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

What is the glucose threshold value that triggers further testing for women at high or average risk for gestational diabetes?

<p>140 mg/dL (7.8 mmol/L) (C)</p> Signup and view all the answers

What is the percentage of women who usually see their blood glucose levels return to normal after delivery?

<p>80% to 90% (B)</p> Signup and view all the answers

What is the recommended daily minimum of protein for women with gestational diabetes?

<p>71 g (B)</p> Signup and view all the answers

What is the recommended daily minimum of fiber for women with gestational diabetes?

<p>28 g (B)</p> Signup and view all the answers

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

<p>Unrestrained glycogenolysis and gluconeogenesis (B)</p> Signup and view all the answers

Which syndrome may result from insulin resistance in type 2 diabetes?

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

What is a risk factor for gestational diabetes?

<p>Previous history of gestational diabetes (C)</p> Signup and view all the answers

What is the recommended timing for screening gestational diabetes in high-risk women?

<p>Between 24 and 28 weeks of gestation (B)</p> Signup and view all the answers

Which condition may result from type 2 diabetes but not typically from type 1 diabetes?

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

What contributes to hyperglycemia in type 1 diabetes?

<p>Unrestrained glycogenolysis and gluconeogenesis (D)</p> Signup and view all the answers

What is the main cause of hyperglycemia in type 2 diabetes?

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

What is a long-term complication that may occur before the diagnosis of type 2 diabetes?

<p>Hyperglycemic hyperosmolar syndrome (HHS) (D)</p> Signup and view all the answers

What causes fluid and electrolyte loss in diabetes?

<p>Glycosuria and osmotic diuresis (A)</p> Signup and view all the answers

What leads to diabetic ketoacidosis (DKA) in type 1 diabetes?

<p>Increased ketone body production (B)</p> Signup and view all the answers

Study Notes

Understanding Diabetes: Types and Complications

  • Destruction of beta cells leads to decreased insulin production and increased glucose production by the liver, resulting in hyperglycemia.
  • Excess glucose in the blood can lead to glycosuria and osmotic diuresis, causing fluid and electrolyte loss.
  • Insulin deficiency leads to unrestrained glycogenolysis and gluconeogenesis, contributing to hyperglycemia, and increased ketone body production, leading to diabetic ketoacidosis (DKA).
  • Type 2 diabetes is more common in older individuals and those with obesity, but its incidence is increasing in younger individuals due to the obesity epidemic.
  • Insulin resistance and impaired insulin secretion are the main issues in type 2 diabetes, leading to elevated glucose levels.
  • Insulin resistance may also result in metabolic syndrome, characterized by symptoms like hypertension and hypercholesterolemia.
  • Type 2 diabetes does not typically lead to DKA but may result in hyperglycemic hyperosmolar syndrome (HHS).
  • Type 2 diabetes onset may go undetected for many years, leading to long-term complications before diagnosis.
  • Gestational diabetes occurs during pregnancy due to insulin resistance from placental hormones.
  • High-risk groups for gestational diabetes include those with obesity, a history of gestational diabetes, or a strong family history of diabetes.
  • Women at high risk should be screened for gestational diabetes at their first prenatal visit and between 24 and 28 weeks of gestation if initially negative.
  • All women of average risk should be tested for gestational diabetes at 24 to 28 weeks of gestation.

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Description

Test your knowledge of diabetes types and complications with this quiz. Explore topics such as insulin production, hyperglycemia, diabetic ketoacidosis, type 2 diabetes, gestational diabetes, and screening recommendations for high-risk groups.

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