Ch. 31 Diabetes

Question 1

Your 67 year old male patient was recently diagnosed with type 2 diabetes. He is 5’11” and weighs 235 pounds. How many carb choices is he allowed per day, assuming he is sedentary and should lose 1 pound/week?

Answer 1

1800 X 0.55 = 990
990 / 4 = 247.5
247.5 / 15 = 16.5 carb choices per day

Question 2

Your 21 year old female patient was recently diagnosed with type 1 diabetes. She is 5’6” and weighs 130 pounds. How many carb choices is she allowed per day, assuming she is lightly active?

Answer 2

1800 X 0.55 = 990
990 / 4 = 247.5
247.5 / 15 = 16.5 carb choices per day

Question 3

What is your biomarker to test long-term blood glucose control in your diabetic patient?

Answer 3

HB-A1C

Question 4

Fred’s fasting blood glucose has been above 150 mg/dL the last 3 times you have checked it in your office; therefore, you can diagnose him with diabetes.

True or False

Answer 4

True

Question 5

Which supplement has been proven to correct some nerve damage in diabetic neuropathy?

Answer 5

alpha-lopoic acid

Question 6

Which is NOT part of the Whipple triad in diagnosing hypoglycemia?

A.) having some symptoms associated with low blood sugar (headache, dizziness, etc.)

B.) fasting blood glucose of 41 mg/dL

C.) postprandial blood glucose of 73 mg/dL

D.) postprandial blood glucose of 45 mg/dL

Answer 6

D.) postprandial blood glucose of 45 mg/dL

Question 7

What fasting blood glucose concentration = hypoglycemic?

Answer 7

< 70 mg/dl

Question 8

What fasting blood glucose concentration = normal?

Answer 8

70-99 mg/dl

Question 9

What fasting blood glucose concentration = prediabetic?

Answer 9

100-125 mg/dl

Question 10

What fasting blood glucose concentration = diabetic?

Answer 10

> 125 mg/dl

Question 11

What are the macronutrient recommendations for diabetes?

Answer 11

protein = 15-20%
lipids = 20%
---SFA = < 7%
carbs = 45-65%

Question 12

How many car servings should a patient be consuming daily if they should be eating 2400 kcal daily if they are using the carb counting method?

Answer 12

2400 x 0.55 = 1320 / 4 = 330 / 15 = 22 carb choices per day

Question 13

What are the exercise recommendations for Type 1 diabetics?

Answer 13

15 g carbs before exercise and every 30-60 minutes of exercise

Question 14

What are the exercise recommendations for Type 2 diabetics?

Answer 14

caution aerobics if SBP > 180

–resistance training 3x wk

Question 15

What type of longterm complication of uncontrolled blood glucose has the following symptoms:
–nephropoathy, neuropathy, retinopathy

Answer 15

microvascular

Question 16

What type of longterm complication of uncontrolled blood glucose has the following symptoms:
–increased risk of CVD

Answer 16

large blood vessels

Question 17

What are some shortterm symptoms of complications of uncontrolled blood glucose?

Answer 17

hypoglycemia and ketoacidosis