TeachME Professional Development

Guiding Principles for Diabetes Care

Introduction

1. Early identification and management of pre-diabetes can delay or prevent the onset of type 2 diabetes.

A. True B. False

Principle 1

2. In 2007, at least ___million U.S. adults had pre-diabetes, placing them at risk for cardiovascular disease and ______ diabetes.

A. 40; Type 1 B. 60: Type 1 C. 57; Type 2 D. 52; Type 2

Table 2: The Risk Factors for Type 2 Diabetes

3. Which of the following is NOT one of the factors that places an overweight adult (body mass index _>25) at risk of type 2 diabetes?

A. History of gestational diabetes B. Hypertension: blood pressure>160/90 C. Signs of acanthosis nigricans D. Inactive lifestyle

Principle 2- Disease Progression

4. Children whose BMI is >____ percentile for their age are at increased risk for developing type 2 diabetes.

A. 75 B. 80 C. 85 D. 90

Obesity Medications and Surgery

5. Weight loss surgery is an option in carefully selected obese adults and older adolescents who have completed growth when less invasive methods of weight loss have been unsuccessful and the patient is at high risk for obesity-associated morbidity or mortality.

A. True B. False

Table 5-Addition of Metformin to Lifestyle Changes

6. The use of metformin may be considered in addition to life-style changes to prevent or delay the onset of diabetes in individuals with IFG and IGT and one or more of the following:

A. Age < 70 years B. BMI > 25 C. AIC > 5.0 percent D. Family history of diabetes in first-degree relative

7. Metformin is FDA approved for treatment of pre-diabetes.

A. True B. False

Principle 3-Financial Resources

8. Medicare covers diabetes self-management education from a recognized program, medical nutrition therapy from a registered dietitian, and diabetes equipment.

A. True B. False

Principle 4:Evidence for Benefits of Good Blood Glucose Control

9. The Diabetes Control and Complications Trial (DCCT) [15] found that individuals with type 1 diabetes who achieved tight glucose control reduced complications in all of the following EXCEPT:

A. Bones B. Eye C. Nerve D. Kidney E. Heart

Evidence for Blood Pressure Control

10. The Systolic Hypertension in Elderly Program study found that diuretics reduced cardiovascular death in people with diabetes by 21 percent.

A. True B. False

Table 7-ABC Treatment Goals for People with Diabetes

11. Which is NOT included in the ABC treatment goals for people with diabetes?

A. Triglycerides <130 B. Preprandial capillary plasma glucose 70-130 mg/dl C. Blood pressure<130/80mm HG D. LDL<100

12. A1C is a standardized blood test that indicates the average blood glucose over the previous 4 to 6 weeks, and should be used to guide therapy to achieve glycemic targets.

A. True B. False

Lipid Management

13. Statins are the initial medication of choice for most people with elevated LDL cholesterol.

A. True B. False

Medical Nutrition Therapy

14. For most people with diabetes, diet composition recommendations include total fat of about ___ percent of total calories and saturated fat less than ___ percent.

A. 20; 6 B. 25; 9 C. 30; 7 D. 35; 8

Physical Activity

15. To improve glycemic control, assist with weight maintenance, and reduce cardiovascular disease risk , adults with diabetes, in consultation with their health care team, need ____ minutes of moderate aerobic activity, 3-5 days per week.

A. 60-75 B. 45-60 C. 60-90 D. 30-60

Self-Care Strategies

16. Prevention of long-term complications is enhanced if people with diabetes practice the following healthy self-care behaviors such as eating a variety of foods high in fiber, low in sodium and sugar, and low in saturated and trans fats.

A. True B. False

Smoking Cessation

17. Smoking more than triples the risk for cardiovascular disease in people with diabetes.

A. True B. False

Principle 5-Diabetes in Children

18. The highest rates of type 2 diabetes are seen in __________youth.

A. American Indian B. African American C. Hispanic American D. Samoan

Diabetes in Women of Childbearing Age

19. Major congenital malformations remain the leading cause of mortality and serious morbidity in infants of mothers with pre-existing type 1 and type 2 diabetes.

A. True B. False

Principle 6-At Each Diabetes Visit

20. Which is NOT included in the routine diabetes visit?

A. Measure weight, blood pressure and BMI B. Inspect hands for lesions or abnormalities C. Review self-monitoring glucose record D. Assess for coping, depression or mood disorder


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