Visceral fat loss is often associated with increased insulin sensitivity. Assuming that with the reduction i visceral fat the sensitivity increases by 40% what will be the relative change in fasting blood glucose in long term? A. - 8.4% B. -9.3% C. -9.8% D. -10.6% E. -11.1%
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- A client with T2DM is admitted to the medical unit with pneumonia. The client’s oral antidiabetic medication has been discontinued and the patient is now receiving insulin for glucose control. Which of the following statements best explains the rationale for this change in medication? Question 73 options: a) Insulin administration will help prevent hypoglycemia during the illness b) Acute illnesses like pneumonia will cause increased insulin resistance c) Infection has compromised beta cell function so the client will need insulin from now on d) Stress-related conditions such as infections induce a hypermetabolic stateWhich of the following is TRUE regarding the general use of alcohol in diabetes? Question 60 options: a) Alcohol should be limited to 2 or fewer servings per day b) Clients can use alcohol in unlimited quantities unless they are pregnant c) A serving of alcohol is considered part of the carbohydrate allowance d) Alcohol contributes to hypoglycemia and should be avoided completelyWhich of the following describes a feature of the pathophysiology of type 2 diabetes? Question 15 options: a) It is usually an autoimmune disease b) The pancreas makes little or no insulin c) Diabetic ketoacidosis is a common complication d) The liver increases production of glucose
- What is a common outcome of “yo-yo” dieting, or a pattern of losing and gaining weight? Question 17 options: a) An increase in visceral fat b) A redistribution of subcutaneous fat in the body c) Anorexia nervosa d) A decrease in the likelihood that future weight loss efforts will be successfulThe chronic complications associated with all types of diabetes result from which of the following? Question 40 options: a) Weight gain and hypertension b) Altered kidney function c) Damage to blood vessels and nerves d) Infections that deplete nutrient reservesYou are an endocrinologist in a Diabetes Centre, and a 38 year-old person who has no signs (symptoms) for diabetes arrived to your clinic, but when you checked his fasting blood sugar (FBS) level, it was 132 mg/dL (7.3 mmol/L). Based on these results, does this result indicate normal blood glucose? Explain What should you then do for/ recommend this person?
- Which of the following is true about the pathophysiology of hypoglycemia? Question 62 options: a) Glucagon decreases glycogenolysis and gluconeogenesis in the liver b) Autonomic symptoms are caused by increased levels of glucagon which then stimulates the hypothalamic-pituitary-adrenal axis c) Beta cells suppress insulin secretion at a plasma glucose level of 3 mmol/L d) Abrupt cessation of glucose delivery to the brain results in confusion, drowsiness, vision changes, and headacheIn a Diabetes Centre, you are an endocrinologist, and a 38-year-old person who has no symptoms of diabetes arrived at your clinic, but when you checked his fasting blood sugar (FBS) level, it was132 mg/dL (7.3 mmol/L). Based on these results, does this result indicate normal blood glucose?What should you then do for recommend this person?Which is the most appropriate timing regarding the nurse’s administration of a rapid-acting insulin to a hospitalized patient? a )Give it 15 minutes before the patient begins a meal.b) Give it ½ hour before a meal.c )Give it 1 hour after a meal.d) The timing of the insulin injection does not matter with insulin lispro
- The high glucagon/insulin ratio seen in starvation: a. Leads to increased concentrations of ketone bodies in the blood. b. Promotes mobilization of fatty acids from adipose stores. c. All of these answers are correct.Mary, who has type 2 diabetes, has asked you about the importance of glycaemic index (GI) in her glucose control. Based on your knowledge, you inform her: a) That choosing low GI carbohydrate sources over high GI sources will not have any beneficial impact on her glucose control b) That choosing low GI carbohydrate sources over high GI sources might help to "fine-tune" glucose levels when considered along with total carbohydrate intake c) To choose carbohydrate sources containing higher levels of amylopectin starch, as it gets digested slower than amylose starch d) That she should choose glucose sources (e.g. white rice) over fructose sources (e.g. fruits), as glucose will produce a lower glycaemic response than will fructose