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Matching -adiponectin


A) hormone produced by adipose cells that improves insulin sensitivity
B) liver protein that promotes blood clot formation
C) a hormone produced by adipose cells that promotes insulin resistance
D) the type of diabetes that accounts for 5 to 10% of diabetes cases and is caused by autoimmune destruction of pancreatic beta cells
E) the type of diabetes that accounts for 90 to 95% of diabetes cases and is a result of insulin resistance coupled with insufficient insulin secretion
F) transported in very-low-density lipoproteins (VLDL)
G) known as insulin resistance syndrome or syndrome X
H) protein that promotes blood clotting by inhibiting blood clot degradation within blood vessels
I) hyperglycemia that results from the release of counter regulatory hormones following nighttime hypoglycemia; also called the Somogyi effect
J) signaling proteins produced by the body's cells, including immune cells

K) A) and B)
L) D) and I)

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Though the exact cause of metabolic syndrome is unknown, it is believed to be associated with _____.


A) ​poverty
B) ​obesity
C) ​hypoglycemia
D) ​liver disease
E) ​smoking

F) D) and E)
G) C) and E)

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B

Which drug suppresses glucagon secretion and delays stomach emptying?


A) ​biguanides
B) ​sulfonylureas
C) ​dopamine agonists
D) ​acarbose
E) ​amylin analogs

F) A) and B)
G) C) and D)

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Which insulin preparation has the longest duration of action?


A) ​lispro
B) ​regular
C) ​NPH
D) ​glargine
E) ​aspart

F) B) and C)
G) B) and E)

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A disadvantage of intensive therapy for type 1 diabetes is _____.​


A) ​a greater risk of severe hypoglycemia
B) ​greater expense due to lack of insurance reimbursement
C) ​fewer incidences of severe hypoglycemia
D) ​more rapid progression of chronic complications
E) ​lack of glycemic control

F) A) and B)
G) A) and C)

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Type 2 diabetics who develop a serious illness or infection that worsens elevated glucose concentrations are prone to developing _____.


A) ​heart disease
B) ​weight loss
C) ​systemic inflammatory response syndrome
D) ​hyperosmolar hyperglycemic syndrome
E) ​significant ketosiss

F) A) and E)
G) All of the above

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Describe hyperosmolar hyperglycemic syndrome of type 2 diabetes.​

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The hyperosmolar hyperglycemic syndrome ...

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The progression of metabolic syndrome is worsened by _____.


A) ​a sedentary lifestyle
B) ​low-carbohydrate diets
C) ​low blood lipids
D) ​drug therapy
E) ​celiac disease

F) C) and E)
G) D) and E)

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Diabetic ketoacidosis is characterized by all of the following except _____.


A) ​severe ketosis
B) ​blood glucose >250 mg/dL
C) ​acidosis
D) ​blood cholesterol >250 mg/dL
E) ​dehydration

F) B) and C)
G) C) and E)

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Diabetes mellitus describes a group of metabolic disorders characterized by _____.


A) ​elevated blood glucose
B) ​low hemoglobin
C) ​dumping syndrome
D) ​lactose intolerance
E) ​low insulin levels

F) A) and D)
G) D) and E)

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A

The treatment of type 2 diabetes stresses _____ because of its beneficial effects on improving blood glucose control and blood lipids, and reducing blood pressure.​


A) ​physical activity
B) ​a low-fat diet
C) ​sulfonylureas
D) ​a sodium-controlled diet
E) ​dopamine agonists

F) B) and E)
G) None of the above

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Matching -prediabetes


A) a group of metabolic disorders characterized by hyperglycemia and disordered insulin metabolism
B) elevated blood glucose concentrations
C) the condition in which blood glucose levels are higher than normal but not high enough to be diagnosed as diabetes
D) a distinctive fruity odor on the breath of a person with ketosis
E) the presence of albumin in the urine; a sign of diabetic nephropathy
F) a coma that occurs in uncontrolled diabetes; may be due to diabetic ketoacidosis, the hyperosmolar hyperglycemic state, or severe hypoglycemia
G) extreme hyperglycemia that is associated with hyperosmolar blood, dehydration, and altered mental status
H) abnormally low concentrations of blood glucose
I) delayed stomach emptying
J) pain in the legs while walking; usually due to an inadequate supply of blood to the muscles

K) B) and I)
L) E) and G)

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C

Which symptoms are associated with the acute complications of diabetes?


A) ​hyperglycemia, vomiting, dehydration
B) ​vomiting, polyuria, infections of the urinary tract
C) ​hyperglycemia, dehydration, polyuria
D) ​dehydration, polyuria, lack of thirst
E) vomiting, polyuria, infections of the urinary tract​

F) C) and E)
G) A) and C)

Correct Answer

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Good glycemic control requires _____.​


A) ​eating small amounts of food
B) ​restricting carbohydrate in the diet
C) ​self-monitoring of blood glucose
D) ​frequent visits to the doctor
E) ​frequent insulin injections

F) C) and E)
G) C) and D)

Correct Answer

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Matching -abuminuria


A) a group of metabolic disorders characterized by hyperglycemia and disordered insulin metabolism
B) elevated blood glucose concentrations
C) the condition in which blood glucose levels are higher than normal but not high enough to be diagnosed as diabetes
D) a distinctive fruity odor on the breath of a person with ketosis
E) the presence of albumin in the urine; a sign of diabetic nephropathy
F) a coma that occurs in uncontrolled diabetes; may be due to diabetic ketoacidosis, the hyperosmolar hyperglycemic state, or severe hypoglycemia
G) extreme hyperglycemia that is associated with hyperosmolar blood, dehydration, and altered mental status
H) abnormally low concentrations of blood glucose
I) delayed stomach emptying
J) pain in the legs while walking; usually due to an inadequate supply of blood to the muscles

K) A) and C)
L) F) and I)

Correct Answer

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A benefit to using the basic carbohydrate counting method is _____.


A) ​it is easier to learn than the advanced carbohydrate counting method
B) ​all portion sizes are the same for various foods
C) ​patients can consume unlimited amounts of carbohydrates
D) ​fiber content of the food does not need to be accounted for in the calculation
E) ​consistent carbohydrate intake is not required

F) D) and E)
G) C) and D)

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A major cause of death in people with diabetes is _____.


A) ​neuropathy
B) ​cardiovascular disease
C) ​infections
D) ​gangrene
E) ​claudication

F) None of the above
G) C) and D)

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If a person does not produce sufficient insulin, he is prone to have _____.


A) ​hyperglycemia
B) ​poor appetite
C) ​low albumin levels
D) ​hypoglycemia
E) ​hypertension

F) B) and C)
G) C) and E)

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Matching -gastroparesis


A) a group of metabolic disorders characterized by hyperglycemia and disordered insulin metabolism
B) elevated blood glucose concentrations
C) the condition in which blood glucose levels are higher than normal but not high enough to be diagnosed as diabetes
D) a distinctive fruity odor on the breath of a person with ketosis
E) the presence of albumin in the urine; a sign of diabetic nephropathy
F) a coma that occurs in uncontrolled diabetes; may be due to diabetic ketoacidosis, the hyperosmolar hyperglycemic state, or severe hypoglycemia
G) extreme hyperglycemia that is associated with hyperosmolar blood, dehydration, and altered mental status
H) abnormally low concentrations of blood glucose
I) delayed stomach emptying
J) pain in the legs while walking; usually due to an inadequate supply of blood to the muscles

K) A) and I)
L) G) and J)

Correct Answer

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What are the recommendations for carbohydrate intake for diabetics?​


A) ​Low-carbohydrate diets are recommended.
B) ​All concentrated sweets should be avoided.
C) ​High-fiber, minimally processed carbohydrates should be emphasized.
D) ​Simple carbohydrates should be emphasized.
E) ​Glucose should be avoided.

F) All of the above
G) A) and B)

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