Lesson 2 DM

Question 1

An endocrine disorder in which the pancreas can not produce adequate insulin to regulate body glucose levels

Answer 1

Diabetes Mellitus

Question 2

Disorder in CHO, CHON, and fat metabolism

Answer 2

Diabetes Mellitus

Question 3

A diabetogenic state due to profound effect of hormone

Answer 3

Pregnancy

Question 4

Risk Factors of DM

Answer 4

Family history
Rapid hormonal changes in pregnancy
Tumor/Infection of the pancreas
Obesity
Stress

Question 5

These increase insulin antagonistic hormones:

Answer 5

Cortisol
Estrogen
Progesterone
Human Placental Lactogen

Question 6

Excess glucose crosses placenta is linked to

Answer 6

LGA

Question 7

Vomiting decreases CHO intake linked to ______

Answer 7

Metabolic acidosis

Question 8

Vomiting decreases ____ intake

Answer 8

CHO

Question 9

Labor activity requires _______ intake

Answer 9

Increase CHO

Question 10

This is due to involution and lactation

Answer 10

Hypoglycemia Postpartum

Question 11

Normal Metabolic Changes in Pregnancy Affect DM

Answer 11

Increase insulin antagonistic hormones: CEPH
Excess glucose crosses placenta is linked to LGA
Vomiting decreases CHO intake is linked to Metabolic Acidosis
Labor activity increases CHO intake
Hypoglycemia Pospartum is due to involution and lactation

Question 12

A DM that develops during pregnancy and constantly resolves after delivery

Answer 12

Gestational Diabetes Mellitus

Question 13

Maternal Complications of GDM

Answer 13

Predisposes to PIH, UTI
Infection: Candiadiasis, UTI
Uteroplacental Insufficiency
Dystocia due to large infant
Maternal Mortality
Diabetic Retinopathy
Diabetic Nephropathy

Question 14

Fetal complication

Answer 14

Macrosomia
Intrauterine Growth Restriction due to placental insufficiency
Hydramnios
Prematurity
Respiratory Distress Syndrome
Hyperbillirubinemia
Hypocalcemia
Birth defects

Question 15

Birth defects:

Answer 15

Heart
Brain and spine
Kidney
GIT

Question 16

Normal Glycemia level

Answer 16

80-120 mg/dL

Question 17

Sign and Symptoms of Hyperglycemia

Answer 17

Glycosuria
Polyphagia
Polyuria
Polydipsia
Weight loss
Ketoacidosis

Question 18

What are the diagnosis for hyperglycemia/

Answer 18

Screening test
Glucose tolerance test

Question 19

This test is at 26-28 weeks

Answer 19

Screening test

Question 20

This test is at 28-34 weeks

Answer 20

Glucose Tolerance Test

Question 21

How many glucose should be given in screening test?

Answer 21

50 g oral glucose

Question 22

How many glucose should be given in glucose tolerance test?

Answer 22

100g

Question 23

If more than 140 mg/dl, needs ____ hour gtt

Answer 23

3 hour

Question 24

What is the normal FBS

Answer 24

95 mg/dl

Question 25

FBS - 180 mg/dl

Answer 25

1 hr

Question 26

FBS - 155 mg/dl

Answer 26

2 hr

Question 27

FBS - 140 mg/dl

Answer 27

3 hr

Question 28

Give a treatment of Hypoglycemia

Answer 28

Consume 15-20g glucose or simple CHO Hard candy Jellybeans/gumdrops

Question 29

How many minutes to recheck blood glucose

Answer 29

15 minutes

Question 30

What is the emergency drug for hypoglycemia

Answer 30

Glucagon

Question 31

This drug stimulates the liver to release stored glucose into the bloodstream

Answer 31

Glucagon

Question 32

How many calories a day for diabetic patient

Answer 32

1800-2200 cal/day

Question 33

If the patient is cold and clammy, give what _____

Answer 33

Candy