5 Written Questions

1. this promotes conversion of fatty acids into fat that can be stored as adipose tissue & prevents breakdown of adipose tissue and conversion of fat to ketone bodies.
2. This/these works by making existing insulin more effective at the cellular level; decreases amount of glucose produced by the liver; muscle tissue becomes more sensitive to insulin and improves glucose absorption. What two hyperglycemics are they?
3. Presence of ketones in the urine
4. This is the original class of oral hypoglycemic medications used for diabetes therapy. They work by increasing ability of islet cells of pancreas to excrete insulin. They increase cells' sensitivity to insulin & decrease glucose production by the liver. Take 30 minutes before eating.
5. This can always be used by the brain and kidneys, insulin is not needed for this to enter brain cells or cells of the glomeruli.

5 Matching Questions

1. TYPE 1
2. INSULIN
3. GLYCEMIA
4. LIPODYSTROPHY
5. RAPID SHORT, SHORT,INTERMEDIATE AND LONG ACTING

1. a the client with this type of diabetes will ALWAYS require administration of insulin. Insulin Dependent.
2. b level of sugar in the blood
3. c Insulin comes in what 4 forms (speeds)?
4. d What brings down glucose levels in the blood?
5. e Atrophy or hypertrophy of subcutaneous fat. A change in subcutaneous fat that decreases the absorption of the insulin. Includes Lipoathrophy & Lipohypertrophy

5 Multiple Choice Questions

1. Usually occurs during the night, but manifests as an elevated glucose in the morning and may be inadvertently treated with an increase in insulin dosage. Check blood glucose around 3:00 a.m. Adjusting insulin to avoid peaking during the night will correct this effect.
   1. GLYCOGEN
   2. DAWN PHENOMENON
   3. HYPERTENSION
   4. SOMOGYI PHENOMENON
2. This insulin: O = 2-3 hours. P = 8-12 hours. D = 18-24 hours
   1. SLIDING SCALE INSULIN
   2. DIABETES MELLITUS
   3. INTERMEDIATE ACTING HUMULIN N
   4. DIABETIC NEUROPATHY
3. Early morning glucose elevation produced by the release of growth hormone, which decreases peripheral uptake of glucose resulting in elevated morning glucose levels. Admin of insulin at a later time in day will coordinate insulin peak with the hormone release.
   1. KETONES
   2. SOMOGYI PHENOMENON
   3. DAWN PHENOMENON
   4. DURATION
4. Condition wherein the blood glucose level becomes too high as a result of the absence of insulin. A deficiency of insulin, or elevated blood glucose.
   1. HYPOGLYCEMICS
   2. POLYDIPSIA
   3. POLYURIA
   4. HYPERGLYCEMIA
5. Normal Glucose, 2 hour postprandial (after eating)
   1. <140
   2. 80-120
   3. >300
   4. 70-120

5 True/False Questions

1. HYPERGLYCEMIA → This state of ______glycemia has symptoms of: The 3 P's, fatigue, dizzy, restless, hungry, irritable, difficulty concentrating, sweating, palpitations, tremor or nausea.

   True        False

2. SLIDING SCALE INSULIN → during times of surgery, illness or stress, clients have their glucose level managed using this, in lieu of their regular regimen. This determines insulin dosage based on fingerstick blood glucose level and a dose is administered every 4 or 5 hours based on blood glucose level. This is considered using what method of administering insulin?

   True        False

3. DKA → abrev for Diabetic Ketoacidosis (result of Hyperglycemia)

   True        False

4. SECOND GENERATION SULFONYLUREAS → This is the original class of oral hypoglycemic medications used for diabetes therapy. They work by increasing ability of islet cells of pancreas to excrete insulin. They increase cells' sensitivity to insulin & decrease glucose production by the liver. Take 30 minutes before eating.

   True        False

5. POLYURIA → Increased urination

   True        False