Jared Joiner is a 56-year-old African American insurance agent. He is single, eats most meals at restaurants, and leads a sedentary lifestyle. He is 5'9 tall and weighs 204 pounds. Mr. Joiner has been feeling particularly fatigued lately and decided to make an appointment with his physician for a check-up. The results of his laboratory tests include a fasting blood glucose level of 121 mg/dL.
Mr. Joiner's blood glucose level meets the criteria for a diagnosis of:
a. type 1 diabetes.
b. type 2 diabetes.
c. prediabetes.
d. ketoacidosis.
Q. 2Women with gestational diabetes who are overweight or obese should be encouraged to:
a. engage in strenuous exercise.
b. severely restrict carbohydrate intake.
c. adjust energy intake as needed.
d. limit protein intake.
Q. 3Diet therapy for a pregnant type 1 diabetic includes all of the following except:
a. decreased kcalories to aid in blood glucose control.
b. regular meals and snacks.
c. an evening snack.
d. monitoring of insulin therapy.
Q. 4Those taking _____ should avoid excessive alcohol intake because it may interact with these drugs to cause lactic acidosis.
a. alpha-glucosidase inhibitors
b. sulfonylureas
c. thiazolidinediones
d. biguanides
Q. 5Which of the following is a central feature of diabetes management because of its beneficial effects on glycemic control and CVD risk factors?
a. physical activity
b. a low-fat diet
c. the glycemic index
d. a low-sodium diet
Q. 6The mode of action of sulfonylureas is to:
a. stimulate insulin secretion by the pancreas.
b. decrease insulin resistance.
c. improve glucose utilization
d. delay carbohydrate digestion and absorption
Q. 7Oral antidiabetic agents work in all of the following ways except:
a. stimulating the pancreas to produce insulin.
b. inhibiting liver production of glucose.
c. delaying carbohydrate digestion and absorption.
d. stimulating the pancreas to produce glucagon.
Q. 8Which insulin has the longest duration of action?
a. lispro
b. regular
c. NPH
d. glargine
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