Characteristic and Diagnostic Criteria for Diabetes

Question 1

Which of the following is a diagnostic criterion for Type 1 and Type 2 diabetes

A) FPG: 80-100 mg/dL
B) A1C: 5.7-6.4%
C) FPG: ≥126mg/dL
D) 2hPG: 140-199 mg/dL

Answer 1

C) FPG: ≥126mg/dL

Question 2

True or False: CPG must be measure 2 hours post oral glucose test.

Answer 2

False, 2hPG is measured 2 hours post oral glucose test, while casual plasma glucose can be measured any random time of the day.

Question 3

What is the A1C range for pre-diabetes?

Answer 3

5.7-6.4%

Question 4

Gestational diabetes is typically diagnosed during which period of pregnancy?
A) 8-12 weeks
B) 16-20 weeks
C) 24-28 weeks
D) 32-36 weeks

Answer 4

C) between 24-28 weeks

Question 5

What weight loss is typically recommended for a individual with prediabetes?
A) 2-5%
B) 5-8%
C) 7-10%
D) 9-12%

Answer 5

C) 7-10%

Question 6

How is gestational diabetes diagnosed?

Answer 6

Oral Glucose Tolerance Test (OGTT)

Question 7

Which type of diabetes results from destroyed beta cells of the pancreas that results in a defect in insulin production or secretion?
A) Type 1
B) Type 2
C) Gestational

Answer 7

A) Type 1

Question 8

True or False: A patient was diagnosed with Type 2 diabetes and through lifestyle modifications they reduced their FPG to 98 mg/dL. They were able to maintain this normal blood sugar without medication for 16 months and are therefore considered cured of type 2 diabetes.

Answer 8

False, the patient is in remission because there is no “cure” in type 2 diabetes.

Question 9

Insulin resistance is associated with which type of diabetes?
A) Type 1
B) Type 2

Answer 9

B) Type 2

Question 10

True or False: Gestational diabetes increases the risk of Type 2 diabetes later in life for both the mother and child.

Answer 10

True

Question 11

Which of the following values falls within the diagnostic range for fasting plasma glucose (FPG) in prediabetes?
A) 90/mg/dL
B) 115 mg/dL
C) 130 mg/dL

Answer 11

B) 115 mg/dL

Question 12

What is the 1-hour oral glucose tolerance test value diagnostic of gestational diabetes?
A) ≥ 14/mg/dL
B) ≥ 180 mg/dL
C) ≥ 200 mg/dL

Answer 12

B) ≥ 180 mg/dL

Question 13

True or false: a patient with type 2 diabetes requires insulin.

Answer 13

False. Type 2 diabetes can often be managed with lifestyle changes and does not always require insulin.

Question 14

Which of the following is not a risk factor for Gestational diabetes?
A) Early maternal age
B) PCOS
C) Ethnicity
D) Obesity

Answer 14

A) Early maternal age - advanced maternal age is a risk factor

Question 15

Which of the following IS a health implication of gestational diabetes:
A) Neonatal hyperglycemia
B) Neonatal hypoglycemia
C) Lower birth weight
D) Birth defects

Answer 15

B) Neonatal hypoglycemia - baby is producing more insulin and this causes a drop in blood sugar.

Question 16

True or False: Treating gestational diabetes with insulin analogs is safer than treating with medication because we don’t know the affects of most medications on the baby, and because insulin is naturally derived.

Answer 16

True

Question 16

What medication may be given for gestational diabetes
A) Amylin analogues
B) Wegovy
C) Glipizide
D) Metformin

Answer 16

D) Metformin - generally considered safe but moms may be hesitant.

Question 17

Which of the following types of diabetes is not asymptomatic?
A) Type 1 diabetes
B) Type 2 diabetes
C) Prediabetes
D) Gestational diabetes

Answer 17

A) Type 1 diabetes

Question 18

When should a new mom be screened for DM postpartum?
A) 2-8 weeks
B) 4-12 weeks
C) 6-14 weeks
D) 10-18 weeks

Answer 18

B) 4-12 weeks

Question 19

Postpartum mothers may need to be screened for DM longer than a few months post birth. It is recommended they get screened:
A) Every year
B) Every 2 years
C) Every 3 years
D) Every 4 years

Answer 19

C) Every 3 years

Question 20

Fasting Plasma Glucose for a patient with Diabetes is:

Answer 20

≥ 126 mg/dL

Question 21

A1C for diabetes is

Answer 21

≥ 6.5%

Question 22

Oral Glucose Tolerance Test for diabetes is:

Answer 22

≥ 200 mg/dL

Question 23

FPG for pre diabetes is:

Answer 23

100-125 mg/dL

Question 24

OGTT for prediabetes is:

Answer 24

140-199 mg/dL