Diabetes Type 2

Question 1

What is Type 2 Diabetes?

Answer 1

Consequence of insulin resistance that occurs at the level of skeletal muscle, liver and adipose tissue with different degree of B-cell impairment

Question 2

Risk Factors

Answer 2

1. Family History
2. Ethnic Background (Native American, African American, Latino, Asian American, or Pacific Islander)
3. Conditions associated with insulin resistance such as (1) acanthosis nigricans, (2) hypertension, (3) dyslipidemia or (4) PCOS
4. History of maternal diabetes or mother with gestation diabetes when child was in utero

Question 3

Signs and Symptoms

Answer 3

1. Behavioral Changes (tearfulness, irritability, naughtiness)
2. Confusion
3. Slurred Speech
4. Belligerence
5. Diaphoresis
6. Tremors
7. Palpitations
8. Tachycardia

Question 4

Short-Term Complications

Answer 4

1. DKA resulting in:
   > Anorexia
   > Nausea
   > Vomiting
   > Lethargy
   > Stupor
   > Altered LOC
   > Confusion
   > Decreased Skin Turgor
   > Abdominal Pain
   > Kussmaul Respirations
   > Fruity or Acetone Breath
   > Presence of Ketone in urine or blood
2. Hypoglycemia
3. Hyperglycemia

Question 5

Long-Term Complications

Answer 5

1. Failure to Grow
2. Delayed Sexual Maturation
3. Poor Wound Healing
4. Recurrent Infections
5. Retinopathy
6. Neuropathy
7. Vascular Complications
8. Nephropathy
9. Cerebrovascular Disease
10. Peripheral Vascular Disease
11. Cardiovascular Disease