Diabetes Types: Understanding Type 1 and Type 2

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Questions and Answers

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?

<p>Suboptimal results from oral agents (A)</p> Signup and view all the answers

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

<p>When other modalities cannot maintain acceptable blood sugars (A)</p> Signup and view all the answers

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

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

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

<p>Some level of beta cell failure (A)</p> Signup and view all the answers

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

<p>For insulin dose adjustment (C)</p> Signup and view all the answers

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

<p>It greatly increases insulin dose (D)</p> Signup and view all the answers

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

<p>It provides more flexibility in meal planning (A)</p> Signup and view all the answers

When can insulin be withdrawn and oral therapy resumed in patients with type 2 diabetes?

<p>When metabolic control has improved and stabilized (D)</p> Signup and view all the answers

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

<p>To cover insulin resistance and provide improved metabolic control (D)</p> Signup and view all the answers

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

<p>Glycemic control is insufficient to limit or prevent complications (C)</p> Signup and view all the answers

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

<p>By assessing their fasting and pre-meal glucose levels (B)</p> Signup and view all the answers

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

<p>To understand the role of basal and pre-meal insulin doses on blood glucose levels (C)</p> Signup and view all the answers

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

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

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