INSTRUCTIONS Type 2 diabetes: Growing to epic proportions
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Type 2 diabetes: Growing to epic proportions
GENERAL PURPOSE: To provide the professional registered nurse with data related to the increasing incidence of diabetes and the seriousness of its complications. LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Discuss the incidence, pathophysiology, and complications of diabetes. 2. Describe actions that can be taken to prevent or treat diabetes and its complications.
- What percentage of the U.S. population has diabetes?
- What percentage of people with diabetes is at least age 65?
- Diabetes is the leading cause of all of the following except
- kidney failure.
- adult-onset blindness.
- cardiovascular disease.
- lower limb amputations.
- In uncontrolled diabetes, glucose remains in the blood along with
- amino acids.
- Destruction of pancreatic beta cells by the autoimmune system results in
- type 1 diabetes.
- type 2 diabetes.
- gestational diabetes.
- People with prediabetes have a
- HbA1c between 6.5 and 7.0.
- body mass index greater than 32 despite normal blood glucose.
- fasting blood glucose level greater than 126 mg/dL.
- 2-hour glucose tolerance between 140 and 199 mg/dL.
- Which risk factor increases a person's risk of diabetes?
- high cholesterol level
- history of multiple infections
- history of autoimmune disease
- Exercise is critical for patients with diabetes primarily because it
- helps metabolize lipids and fats.
- helps burn extra glucose and glycogen.
- prevents glycogen release by the liver.
- increases the body's sensitivity to insulin.
- The first medication recommended for type 2 diabetes is
- a sulfonylurea.
- a thiazolidinedione.
- a glucagon-like peptide-1 analog.
- Which class of drugs assists in insulin production, as well as reduction of blood glucose without the risk of hypoglycemia?
- peptide-1 analogs.
- metformin analogs.
- sulfonylurea analogs.
- Which complication of diabetes carries the greatest morbidity?
- renal failure
- microvascular events
- stroke and ischemic heart disease
- diabetic neuropathy and amputations
- People with diabetes should have eye exams every
- 3 months.
- 6 months.
- 1 year.
- 2 years.
- To prevent renal disease, guidelines suggest placing patients with diabetes on
- a calcium channel blocker.
- a glucagon-like peptide-1 analog.
- a dipeptidyl peptidase-4 inhibitor.
- an angiotensin-converting enzyme inhibitor.
- Which isn't identified as a risk factor for lower leg amputation?
- increasing age
- chronic leg ulcers
- peripheral neuropathy
- The author calls on nurses to decrease the morbidity of diabetes by
- educating communities.
- becoming certified diabetic educators.
- providing better education to nursing unlicensed assistive personnel about diabetes.
- ensuring better follow-up care to patients with diabetes.
- If current trends continue, how many American adults will have diabetes by 2050?
- 1 out of 2
- 1 out of 3
- 1 out of 4
- 1 out of 5
- In youths under age 20, which ethnic group has the highest incidence of diabetes?
- non-Hispanic Whites
- Asian Americans
- non-Hispanic Blacks
- CDC guidelines indicate the risk of blindness can be reduced by 50% to 60% through
- treating diabetic eye disease with laser therapy.
- controlling BP.
- reducing HbA1c.
- improving control of low-density lipoprotein cholesterol.