Diabetes Types: Understanding Type 1 and Type 2

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What is the primary reason for the failure to initiate insulin therapy in type 2 diabetes patients?

Lack of awareness about the progressive nature of type 2 diabetes

Misconception that insulin is a treatment of last resort (correct)

Fear of weight gain and hypoglycemia

Insufficient training of healthcare professionals

What is the characteristic of type 2 diabetes that allows patients to survive with little or no endogenous insulin production?

Destruction of beta cells in the pancreas

Ability to prevent hyperglycemia with other agents (correct)

Relative insulin deficiency

Absolute insulin deficiency

What is the effect of the duration of diabetes on the likelihood of requiring insulin therapy in type 2 diabetes patients?

It has no significant effect on the likelihood of requiring insulin therapy

It decreases the likelihood of requiring insulin therapy

It increases the likelihood of requiring insulin therapy (correct)

It is dependent on the concurrent illness of the patient

What is the primary reason for the progression from oral agents to multiple daily injections or insulin pumps in type 2 diabetes patients?

Suboptimal results from oral agents Signup and view all the answers

Why is insulin a relative indication in type 2 diabetes patients?

When other modalities cannot maintain acceptable blood sugars Signup and view all the answers

What is the characteristic of type 1 diabetes that distinguishes it from type 2 diabetes?

Absolute insulin deficiency Signup and view all the answers

What is a common characteristic of many newly diagnosed type 2 diabetes patients?

Some level of beta cell failure Signup and view all the answers

What is the primary reason for admitting patients with severe intercurrent illness to the hospital?

For insulin dose adjustment Signup and view all the answers

What is the result of high-dose glucocorticoid therapy on insulin dose?

It greatly increases insulin dose Signup and view all the answers

What is the advantage of insulin pump therapy over multiple daily injections?

It provides more flexibility in meal planning Signup and view all the answers

When can insulin be withdrawn and oral therapy resumed in patients with type 2 diabetes?

When metabolic control has improved and stabilized Signup and view all the answers

What is the primary goal of insulin therapy in type 2 diabetes patients?

To cover insulin resistance and provide improved metabolic control Signup and view all the answers

What is the most important factor to consider when starting insulin therapy in type 2 diabetes patients?

Glycemic control is insufficient to limit or prevent complications Signup and view all the answers

How do patients on multiple injections determine if adjustments are needed in their insulin dose?

By assessing their fasting and pre-meal glucose levels Signup and view all the answers

What is the role of self-monitoring of blood glucose in insulin therapy?

To understand the role of basal and pre-meal insulin doses on blood glucose levels Signup and view all the answers

What is essential for managing type 2 diabetes mellitus, a progressive disease?

Insulin therapy Signup and view all the answers

Diabetes Types: Understanding Type 1 and Type 2

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