Diabetic Management

Question 1

How often should you as a veterinarian see stable diabetic patients?

Answer 1

Every 3-6 months

Question 2

How long after initiation of insulin therapy should you see a diabetic patient?

Answer 2

1-2 weeks later

Question 3

With a blood glucose curve, BG should be recorded every ____ hours after insulin administration.

Answer 3

Every 2 hours

Question 4

When performing a blood glucose curve, BG is ideally monitored for ____ hours.

Answer 4

12 hours

Question 5

In an ideal blood glucose curve, what would be the duration of insulin effect?

Answer 5

10-12 hours

Question 6

In an ideal blood glucose curve, what would be the highest BG?

Answer 6

< 300 mg/dL

Question 7

In an ideal blood glucose curve, what would be the average BG?

Answer 7

< 250 mg/dL

Question 8

Fructosamine reflects the mean blood glucose for the past ____ weeks.

Answer 8

2 weeks

Question 9

What is the advantage of using fructosamine to monitor diabetes?

Answer 9

Eliminates confounding effect of stress hyperglycemia

Question 10

True or False: A high fructosamine always suggests poor control over diabetes.

Answer 10

FALSE - the presence of high fructosamine supports poor glycemic control but does NOT help identify the underlying problem.

Question 11

With “good control”, what would your fructosamine range be?

Answer 11

350 - 400 umol/L

Question 12

With “moderate control”, what would your fructosamine range be?

Answer 12

450 - 550 umol/L

Question 13

With “poor control”, what would your fructosamine range be?

Answer 13

> 600 umol/L

Question 14

In patients with insulin doses greater than ____ U/kg, suspect insulin resistance.

Answer 14

> 1.5 U/kg