4 Written Questions

1. - Fasting plasma glucose (FPG): 126 mg/dL or higher
   - Plasma glucose 2 hr after 75 g glucose load (2hr PG): 200 mg/dL or higher
   - A casual/random plasma glucose (PG) of 200 mg/dL or higher
   - Confirmation is not required if the patient presents with either a hyperosmolar or ketotic crisis. The criteria apply to both adult and pediatric patients.
2. Plasma glucose measured 2hrs after 75g glucose load. Value greater than or equal to 200mg/dL indicative of DM if confirmed on another day by either an elevated FPG (above 126) or RPG value (200) or elevated glycosylated hemoglobin A1c.
3. Performed in place of OGTT (Oral Glucose Tolerance Test). For patients w/ poor absorption of orally administered glucose. [May have a glucose transporter problem in GI tract].
4. Plasma glucose levels measured every 30mins for up to 3hrs. In diabetic, glucose levels start high and rise higher than in a normal patient. Levels also remain higher for a longer period of time.

3 Multiple Choice Questions

1. 
   -Impaired Glucose Tolerance (IGT). Glucose level rises higher than 140 but is less than 200.
   -Impaired Fasting Glucose (IFG).
   -DM
   1. What are the 3 criteria that lead to a diagnosis of diabetes?
   2. Screening for Gestational Diabetes Mellitus (GDM)
   3. -Line 1 is a normal response. What is Line 2 showing?
      -Line 1 is normal response. What is line 3 showing?
      -Line 1 is normal. What is line 4 showing?
   4. What are normal FPG and 2hr Postprandial after 75g glucose challenge?
2. - FPG below 110 mg/dL
   - 2h PG below 140 mg/dL
   Borderline type includes those who are neither diabetic nor normal types, e.g. IFG or IGT.
   1. What are the 3 criteria that lead to a diagnosis of diabetes?
   2. Casual (Random) Plasma Glucose (RPG) Assay
   3. What are normal FPG and 2hr Postprandial after 75g glucose challenge?
   4. Two Hour Posprandial Plasma Glucose (2-H PP)
3. 2hrs after 75g glucose load. Correlates to values between 140 and 199mg/dL. Value of less than 140mg/dL are considered normal.
   1. Fasting Plasma Glucose (FPG) Assay
   2. Oral Glucose Tolerance Test (OGTT)
   3. Intravenous Glucose Tolerance Test
   4. Impaired glucose tolerance

3 True/False Questions

1. Fasting Plasma Glucose (FPG) Assay → Irrespective of last meal or time of day. Glucose result of 200mg/dL or greater in presence of symptoms is presumptive of DM.

   True        False

2. Screening for Gestational Diabetes Mellitus (GDM) → No fasting required. 50g glucose load. Between 24-28 weeks gestation. If FPG >125mg/dL then GDM confirmed. If Peak plasma or 2hr glucose value >200mg/dL then GDM confirmed.

   True        False

3. Casual (Random) Plasma Glucose (RPG) Assay → Irrespective of last meal or time of day. Glucose result of 200mg/dL or greater in presence of symptoms is presumptive of DM.

   True        False