Characteristic and Diagnostic Criteria for Diabetes Flashcards
Recognize characteristics of and diagnostic criteria for prediabetes, type 1 and diabetes, and gestational diabetes
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
C) FPG: ≥126mg/dL
True or False: CPG must be measure 2 hours post oral glucose test.
False, 2hPG is measured 2 hours post oral glucose test, while casual plasma glucose can be measured any random time of the day.
What is the A1C range for pre-diabetes?
5.7-6.4%
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
C) between 24-28 weeks
What weight loss is typically recommended for a individual with prediabetes?
A) 2-5%
B) 5-8%
C) 7-10%
D) 9-12%
C) 7-10%
How is gestational diabetes diagnosed?
Oral Glucose Tolerance Test (OGTT)
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
A) Type 1
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.
False, the patient is in remission because there is no “cure” in type 2 diabetes.
Insulin resistance is associated with which type of diabetes?
A) Type 1
B) Type 2
B) Type 2
True or False: Gestational diabetes increases the risk of Type 2 diabetes later in life for both the mother and child.
True
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
B) 115 mg/dL
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
B) ≥ 180 mg/dL
True or false: a patient with type 2 diabetes requires insulin.
False. Type 2 diabetes can often be managed with lifestyle changes and does not always require insulin.
Which of the following is not a risk factor for Gestational diabetes?
A) Early maternal age
B) PCOS
C) Ethnicity
D) Obesity
A) Early maternal age - advanced maternal age is a risk factor
Which of the following IS a health implication of gestational diabetes:
A) Neonatal hyperglycemia
B) Neonatal hypoglycemia
C) Lower birth weight
D) Birth defects
B) Neonatal hypoglycemia - baby is producing more insulin and this causes a drop in blood sugar.
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.
True
What medication may be given for gestational diabetes
A) Amylin analogues
B) Wegovy
C) Glipizide
D) Metformin
D) Metformin - generally considered safe but moms may be hesitant.
Which of the following types of diabetes is not asymptomatic?
A) Type 1 diabetes
B) Type 2 diabetes
C) Prediabetes
D) Gestational diabetes
A) Type 1 diabetes
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
B) 4-12 weeks
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
C) Every 3 years
Fasting Plasma Glucose for a patient with Diabetes is:
≥ 126 mg/dL
A1C for diabetes is
≥ 6.5%
Oral Glucose Tolerance Test for diabetes is:
≥ 200 mg/dL
FPG for pre diabetes is:
100-125 mg/dL
OGTT for prediabetes is:
140-199 mg/dL
