Diabetes 3 Jeopardy Template

Treatments	Manifestations/Complications	Tests	Grab Bag	True/False
100 Glargine Which type of insulin should be given at bedtime (if any)?	100 Polyuria, Polyphagia, Polydipsia What are the 3 "P's" of hyperglycemia?	100 HbA1c, Oral Glucose Tolerance Test, Random & Fasting Blood Glucose Name the 3 types of diabetes tests	100 Insulin Which hormone helps glucose enter the cells of our bodies?	100 False Type 1 diabetes is insulin resistance with varying degrees of insulin secretory defects.
200 Metformin What medication is primarily given to type 2 diabetics (if any)?	200 Burning or prickling sensation that usually occurs in the hands, arms, legs, or feet. Tingling, numbing, skin crawling, or itching One of the sensory complications of diabetes is paresthesias. What are some other words that can be used to describe this?	200 Anything between 100-125 mg/dL What fasting blood glucose value indicated prediabetes?	200 Glucagon What hormone prevents blood glucose levels from dropping too low?	200 False The CNS triggers insulin release
300 patient motivation, increased hypoglycemic episodes, increased number of injections Name 2 cons of tight glycemic control	300 protein in the urine What is the hallmark of diabetic nephropathy?	300 HbA1c test, 6.5% or higher Which diabetes test reflects blood glucose over the past 3 months AND what value would be considered diabetic?	300 Alpha cells Which cells produce glucagon?	300 False Insulin decreases protein synthesis
400 NPH What is the only long-acting insulin that can be mixed with short acting forms?	400 lipolysis In nonketotic hyperglycemic hyperosmolar syndrome the presence of some endogenous insulin suppresses _____________, making it nonketotic	400 8 hours How many hours does a pt have to fast before a blood glucose draw for and oral glucose tolerance test?	400 Proinsulin What is the INactive from of insulin called?	400 False (90-95%) Type 2 diabetics make up 75% of the diabetics in the US
500 Apidra because it is short acting You are preparing a pts insulin and mixing NPH with Apidra, which insulin should be drawn up first?	500 Nonketotic hyperglycemic hyperosmolar syndrome (NHHS), >600 mg/dL What is the acid-base imbalance that is associated with Type 2 Diabetes and what CBG characterizes this?	500 200 mg/dL A random blood glucose draw over what value indicates diabetes? (give the minimum value)	500 Heredity, environment, stress, diet, lack of exercise, pregnancy Name 3 causes of diabetes	500 TRUE Insulin increases triglyceride synthesis

Diabetes

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