Adult II EXAM III
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| What is the Normal Blood Glucose range in people without Diabetes? | show 🗑
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| show | counter/balance out the effect of Insulin; increases Glucose release from the LIVER = increased Blood Sugar
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| When is Glucagon released? | show 🗑
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| show | TOO MUCH Blood Glucose
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| show | Insulin Deficiency
Insulin Resistance
Excess Production and Release of Glucose by LIVER
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| What are causes of Insulin Deficiency? | show 🗑
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| show | Type 2 DM
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| What causes Excess Production and Release of Glucose by the Liver? | show 🗑
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| show | DAILY Medication
Regular Physical Activity
Healthy Food Choices
Self-Monitoring of Blood Glucose
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| show | Oral Diabetic Medications
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| show | Injection or Insulin Pump
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| show | when Lifestyle Changes alone are not sufficient to control Blood Glucose
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| What are examples of Healthy Lifestyle Habits for Type 2 DM patients to control their Blood Glucose? | show 🗑
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| What does Medication Selection for Type 2 DM depend on? | show 🗑
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| show | no, their needs may change over time; (i.e. as Diabetes progresses management often shifts form Lifestyle Changes alone too include one or more Oral Meds and/or Insulin)
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| Many people with Type 2 DM require what kind of therapy? | show 🗑
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| What do Sulfonylureas do? | show 🗑
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| What is the "nomenclature" for Sulfonylureas Generic names? | show 🗑
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| show | Hypoglycemia: ESPECIALLY if someone Skips a meal, Drinks too much Alcohol, or engaged in Physical Activity more Strenuous than usual
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| Sulfonylureas are CONTRAINDICATED in patients with what Allergy? | show 🗑
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| What do Meglitinides do? | show 🗑
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| What is the "nomenclature" for Meglitinide Generic names? | show 🗑
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| When are Meglitinides taken? | show 🗑
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| show | AT THE FIRST SIGN of low Blood Glucose
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| show | Repaglinide
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| show | Reduce Insulin Resistance (a MAJOR cause of Type 2 DM) = lower Glucose levles
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| What is the "nomenclature" for Insulin Sensitizers Generic names? | show 🗑
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| show | Thia-Zaolidine-Diones (thiazolidinediones or TZDs)
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| What is a rare Adverse Effect of Insulin Sensitizers (TZDs)? | show 🗑
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| What are S/S of Liver problems for patient to report when taking Insulin Sensitizers (TZDs)? | show 🗑
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| show | Tiredness, Weight Gain, Hand and Feet Swelling
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| For what reason should someone taking an Insulin Sensitizer (TZD) contact the Health Care Team IMMEDIATELY? | show 🗑
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| show | reduce LIVER Glucose production and Reduce Insulin Resistance = Lower Blood Glucose
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| What are the Biguanides? | show 🗑
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| In what kind of cells does Metformin decrease Insulin Resistance? | show 🗑
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| show | some people might experience Slight Weight Loss
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| show | Metformin by itself DOES NOT increase the risk of Hypoglycemia
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| When DOES Metformin Increase the risk of Hypoglycemia? | show 🗑
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| show | Metformin can be combined with a Sulfonylurea or Insulin Sensitizer
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| Definition: "Glucovance" | show 🗑
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| Definition: "Metaglip" | show 🗑
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| Definition: "Avandamet" | show 🗑
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| show | Diarrhea or Upset Stomach; often goes away in time
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| How might Metformin's side effect be decreased? | show 🗑
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| What is a RARE Adverse Effect of Metformin? | show 🗑
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| Definition: "Lactic Acidosis" | show 🗑
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| Metformin is CONTRAINDICATED in patients with what kind of conditions D/T increased likeliness of developing Lactic Acidosis? | show 🗑
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| Consuming what increases the Risk of Lactic Acidosis when taking Metformin? | show 🗑
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| show | checking Kidney function with a CREATININE test
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| show | Increase Insulin production/release, Decrease LIVER Sugar Production
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| show | "S- -agliptin"
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| What do SGLT Inhibitors do? | show 🗑
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| show | "-agliflozin"
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| What are the Side Effects of SGLT Inhibitors? | show 🗑
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| show | SLOW Gut glucose Absorption; Increase Insulin release (by Increasing Beta Cell Mass - which produce Insulin); Decreases Insulin Resistance
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| What is the "Nomenclature" for GLP Agonist Generic names? | show 🗑
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| show | SQ Injection
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| What do people taking Insulin need to understand? | show 🗑
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| How are Insulins grouped? | show 🗑
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| show | Onset of Action - How soon Insulin start working to Lower Blood Glucose
Peak Time - when Insulin reaches Maximum Effect
Duration - how long Insulin continues to work in the body
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| What (six things) needs to be taken into account when determining a patient's Insulin Regimen? | show 🗑
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| What is often needed to meet individual Insulin needs? | show 🗑
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| show | ANY TYPE OF INSULIN can cause Hypoglycemia
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| show | Self-Monitor Blood Glucose and Pattern Management Skills (know how to treat Hypoglycemia in case it happens)
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| show | Vials, Cartridges, and Disposable Prefilled Insulin Pens
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| What type of Insulin requires a prescription? | show 🗑
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| Do most types of Insulin require a prescription? | show 🗑
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| show | Check on the availability of Insulin at their destination BEFORE departure
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| What is the "Nomenclature" for RAPID Insulin Brand names? | show 🗑
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| What is the Start and Peak Time for RAPID Insulin (about how long dose it last)? | show 🗑
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| show | "- alin R" x 2
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| show | Start: 30 minutes
Peaks: 3 hours
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| show | "-a/olin R" x 2
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| show | Start: 1-3 hours
Peaks 4-9 hours
ENDS: 14-20 hours
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| What is the "Nomenclature" for LONG Insulin Brand names? | show 🗑
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| show | 24 hours
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| show | JUST BEFORE Eating (about 10-15 minutes beforehand; "JUST AS THE PLATE IS SET")
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| What is the purpose of RAPID Insulin? | show 🗑
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| What kind of Insulin are RAPID Insulins? | show 🗑
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| What are the RAPID Insulins? | show 🗑
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| show | Hypoglycemia, because Glucose sources have not been consumed in time to replace blood sugar that has been sent into the cells by Insulin
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| show | Premixed forms
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| show | 75% Insulin lispro Protamine Suspension (INTERMEDIATE Insulin) and 25% lispro (RAPID Insulin)
Combines rapid onset with duration of action of INTERMEDIATE Insulin
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| show | 70% Insulin aspart Protamine Suspension (INTERMEDIATE Insulin) and 30% aspart (RAPID Insulin)
Combines rapid onset with duration of action of INTERMEDIATE Insulin
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| show | approximately 2/3-3/4 INTERMEDIATE "Protamine Suspension" (of an Insulin named the same thing as a RAPID)
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approximately 1/4-1/3 RAPID Insulin (same one as is in the Protamine Suspension)
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| Are RAPID Insulin suitable for use in Insulin Pump Therapy? | show 🗑
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| Slide 13 | show 🗑
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