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DIABETES

Terms in this set (33)

Normal range for blood glucose?

A. 4-6 mg/dL
B. 80-120 mg/dL
B. 80-120
DM1 is an autoimmune destruction of __________ cells

A. Alpha
B. Beta
D. Delta
Beta cells
What do beta cells produce?
Insulin
Do incretins stimulate an increase or decrease in blood glucose levels?
Decrease, incretins and insulin work together.
Diabetic ketoacidosis is associated with DM1 or DM2?
DM1
If your patient has a hemolytic disorder, an A1c will be inaccurate. What should we order?

A. Fructosamine
B. Auto-antibodies
C. C-peptide
A. Fructosamine specifically is helpful for pts with rbc disorders
Your patient presents with an A1c of 5.7% They are ____

A. Fine, let them leave
B. Pre-diabetic, passionately lecture them about the dangers of DM
C. Diabetic, stab feet with microfilaments
B. Pre-diabetic

5.7-6.4%
Your patient is diabetic, has hypertension, dyslipidemia and obesity. You've identified that this patient has metabolic syndrome. Why is this important?
Understand that diabetes often presents with other co-morbidities and it's important that we don't hyper focus on diabetes but to assess the patient's overall cardiovascular risk.
Hyperglycemic hyperosmolar state, aka HONK is associated with DM1 or DM2?
DM2
What is considered hypoglycemic?

A. <120
B. <100
C. <80
D. <60
D. <60
Your patient presents with tachycardia, blurred vision, slurred speech. She takes concentrated insulin but hasn't been feeling well so she hasn't been eating much. What are you concerned for and how do you want to treat?
Hypoglycemia

orange juice, fruit snacksss
Your hypoglycemic patient had a juice box and some gummy bears and is now comatose. What now?

A. Admin insulin
B. Admin lactated ringers
C. Admin glucagon
D. Empty 2 sugar packets into mouth
C. Glucagon.

She's comatose, need something way faster than sug
Insulin resistance due to normal morning increase in cortisol and epinephrine is called

Dawn phenomenon or Somogyi effect
Dawn
If you decide to give metformin to a patient with chronic kidney disease, you risk -

A. Lactic acidosis
B. DKA
C. HONK
D. Hypoglycemia
A. Lactic acidosis
Kussmaul breathing is deep and labored breathing. Would we see this in DKA or HONK?
DKA
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