Diabetes Module 4

Question 0

They specialize in treating diabetes, patients having trouble controlling the disease or developing severe complications will be referred to them

Answer 0

Endocrinologist

Question 1

See type two diabetes patients for check ups and when they are sick; they are the main source of health care for diabetes patients and may refer patients to a specialist

Answer 1

Primary care physician

Question 2

These healthcare professionals collaborate with physicians to care for diabetes patients, provide follow-up care in a larger practice, or write prescriptions

Answer 2

Nurse practitioner

Question 3

These healthcare professionals help patients manage their medications and alert that patients to adverse effects of prescribed medications, the effect of medications may have on blood glucose levels, and if new medication may interact negatively with existing medication

Answer 3

Pharmacist

Question 4

These people follow exercising meal plan set up by healthcare team take medications, regularly monitor blood glucose and track numbers, communicate with healthcare team when not feeling well or when there is a problem

Answer 4

Diabetes patient

Question 5

This healthcare professional supports the physician in care of patients with diabetes, can prescribe medications, and can work alongside primary physicians or specialist

Answer 5

Physicians assistant

Question 6

These professionals provide initial and ongoing diabetes self-management, help patients and caregivers learn about day-to-day aspects of diabetes self-care, variety of healthcare professionals can be certified as this

Answer 6

Diabetes educator

Question 7

These healthcare professionals help with personal and emotional side of living with diabetes. They can include clinical psychologists, social workers and psychiatrists

Answer 7

Mental health professional

Question 8

These professionals help formulate meal plan based on the patient’s desired weight, lifestyle, medication, and other health goals

Answer 8

Dietitian

Question 9

This is formulated as a collaborative therapeutic alliance among the patient family physician coordinated health care team

Answer 9

Diabetes management plan

Question 10

Elements of a disease management following a diagnosis may include

Answer 10

Physician monitoring of glycemic control, patient monitoring of the glycemic control, blood pressure monitoring, lipid measurements, eye exam, screening for diabetic nephropathy including estimated GFR, screening for diabetic neuropathy and foot exams

Question 11

The ADA recommends that patient to meet goals and have a stable glycemic control are tested how many times per year?

Answer 11

2

Question 12

The ADA recommends that patients who do not meet goals or change treatment are tested how many times per year?

Answer 12

Quarterly

Question 13

HB A1 C formation directly proportional to what?

Answer 13

The concentration of glucose in the blood

Question 14

What are the goals for HBA1c for the ADA and the AACE

Answer 14

ADA: <7%
AACE: <6.5%

Question 15

The ADA recommends that patients who inject insulin or use an insulin pump test how many times per day?

Answer 15

3

Question 16

The ADA recommends that patients with an HBA1c above goal test when?

Answer 16

After meals

Question 17

The ADA recommends that testing for blood pressure should be:

Answer 17

At every routine visit. The goal for systolic BP IS <130 mm Hg, while the goal for diastolic BP is <80 Hg.

Question 18

A fasting lipid profile is recommended by the ADA for people patients with type two diabetes how many times per year?

Answer 18

At least annually.

Question 19

Eye exam should happen when?

Answer 19

Following diagnosis and annually thereafter.

Question 20

The progression of rest retinopathy can be helped by

Answer 20

Optimizing glucose and blood pressure control

Question 21

What is the recommended screening of kidneys post diagnosis?

Answer 21

Annual measurement of urine albumin and serum creatinine for type two diabetes beginning a diagnosis; serum creatinine should be used to estimate GFR and stage the level of chronic kidney disease if present.

Question 22

What can help slow the progression of nephropathy?

Answer 22

Optimizing glucose and blood pressure control

Question 23

Pharmacologic treatment for microalbuminuria and macroalbuminuria is recommended for what type of patient?

Answer 23

Nonpregnant patients

Question 24

Examination for distal symmetric polyneuropathy and symptoms of autonomic neuropathy should be instituted when?

Answer 24

At diagnosis