Met 1: Week 1 Review Sessions

Question 1

How do IV fluids affect BG?

Answer 1

IV fluids decrease BG via

1. Larger volume dilutes current glucose
2. Increased blood pressure decreases catecholamines, decreasing glucose release

Question 2

What are the symptoms of hypoglycemia?

Answer 2

1. Symptoms of increased epi (shaky, sweaty, tachy, change in mental status)
2. Seizures

Question 3

What is hypoglycemic unawareness?

Answer 3

If you are frequently hypoglycemic, you will lose the normal sympathetic response to hypoglycemia. You therefore don’t get the warning signs (sx due to increased epi) and proceed straight to seizures and badness

Question 4

Where is NADPH made?

Answer 4

Pentose Phosphate pathway

Question 5

Why does white bread have a higher glycemic index than table sugar or corn syrup?

Answer 5

Glycemic index only measures GLUCOSE

High fructose corn syrup and table sugar aren’t all glucose

Question 6

Niacin is a cofactor for waht enzyme?

Answer 6

Pyruvate dehydrogenase (part of TCA cycle)

Question 7

What is the best way to measure energy intake for someone with stable weight?

Answer 7

Measure energy expenditure (much more reliable than any method of measuring intake)

Question 8

For T2D, what is the correct order of

hyperglycemia

insulin resistance

hyperinsulinemia

Answer 8

1. insulin resistance
2. hyperinsulinemia
3. hyperglycemia