part 9

Question 1

How much is a serving size of CHO?

Answer 1

• 15g

- 45-60g per meal

Question 2

What are the 3 common clinical manifestations of DM?

Answer 2

polydipsia
polyuria
polyphagia

Question 3

What are the exercise recommendations for a pt with DM?

Answer 3

• aerobic exercise minimum 150 minutes/week (30 minutes 5 days a week)
• resistance training three times a week

Question 4

What are the benefits of exercise for a pt with DM?

Answer 4

• decrease insulin resistance and blood glucose
• weight loss
• decrease triglycerides and LDL, increase HDL
• improve BP and circulation

Question 5

What can happen if a pt with DM starts with strenuous activity rather than starting low and slow?

Answer 5

-it can cause stress on the body and increase blood glucose instead of lowering it

Question 6

How long can the glucose lowering effect be after exercise?

Answer 6

up to 48 hours after

Question 7

When should and shouldn’t a pt with DM exercise?

Answer 7

• exercise 1 hour after a meal and snack during exercise to prevent hypoglycemia
• do not exercise if blood glucose level is >300 and if ketones are present in urine

Question 8

When might bariatric surgery be an option for a pt with T2DM?

Answer 8

• when lifestyle and drug therapy management is difficult

- if BMI >35

Question 9

Who qualifies for a pancreas transplant?

Answer 9

-pt with T1DM who has had or is going to have a kidney transplant

Question 10

What are some pros and cons of pancreas transplant?

Answer 10

Pros:
-eliminates need for exogenous insulin, SMBG, and dietary restrictions 
-eliminates acute complications 
Cons: 
-long-term complications persist 
-lifelong immunosuppression therapy