True/False
If DM is uncontrolled, the damage may lead to a necessary amputation
True. Damage to the feet, if not treated efficiently, can be irreversible and need to be removed by amputation.
100
True/False: When beginning an exercise routine exercise should be performed at an intensity that is "somewhat hard" where the person may have difficulty talking during exercise.
False; light or low level activity is recommended to start,
When exercising pt should be able to pass the "talk test" in which they are able to talk while exercising.
100
What percentage of carbohydrates based on observation are eaten by people with diabetes?
What is about 45%?
100
DM type 1 and type 2 are reversible (True or False)
False, only type 2 is reversible with diet and exercise, Type 1 is an autoimmune disorder
200
Which of these pts need further teaching on diabetic foot care?
A) I will get frequent pedicures to keep my feet groomed
B) I will inspect my feet with a mirror after every shower
C) I will buy shoes that are well fitting
D) I will moisturize my feet except in between the toes
A) Diabetics should not get frequent pedicures because it can increase their risk for infection.
200
Diabetes Mellitus pts who exercise daily should have these types of snacks available in case of hypoglycemia.
Fast acting carbs and glucose snacks
200
Name two rcommendations by the ADA in the nutritional management for diabetes.
What is A1C <7% and BP <140/80?
200
True or False: Exercise-induced hyperglycemia is more common in people with DM type 1 and typically occurs when the circulating insulin level is low
True
300
Which of the following signs and symptoms should a newly diagnosed diabetic be aware of?
Choose one priority: emesis, flatus, pruritis or numbness in the feet?
What is numbness in the feet?
300
While exercising, when is a person with DM most at risk for hypoglycemia?
During exercise and up to 48 hours afterward.
300
To develop a healthful eating pattern to manage diabetes, what foods do you need to avoid?
What is saturated fats, trans fats, cholesterol, and sodium?
300
Hyperglycemia is a "modifiable risk factor in diabetic neuropathy." Name two interventions to keep blood glucose controlled?
Two of the following: frequent accuchecks, filament test, controlled diet, adequate amounts of exercise.
400
Name two diabetic complications that puts them at risk for foot wounds/infections.
Decreased peripheral circulation (leads to tissue ischemia) and increased blood sugar (increases risk for infection)
400
True or False: if a diabetic patients blood sugar is high, a good intervention would include ambulating the patient.
Include a why or why not.
False, this is a good intervention for a patient to lower their blood sugar if they are NOT diabetic.
For a diabetic patient this would initially increase their blood sugar; Exercise works for long term control of blood sugar but is not used for an immediate intervention for hyperglycemia.
400
Although the ADA recognizes there is not a one size fits all eating pattern, what four areas are recommended foods for weight management goals?
What is healthy carbohydrates, fiber rich foods, heart healthy fish, and good fats (mono and polysaturated)?
400
When beginning a new exercise routine, an appropriate routine includes all of the following except:
a) two 15-minute sessions daily
b)three 10-minute sessions daily
c) one/two 5 minute sessions daily, gradually increased per session
d) 45 minutes session daily
Answer D.
500
Name two inspections that should be done in a thorough diabetic foot inspection.
Two of any of the following: pedal pulses, in between toes, capillary refill, inspection of lesions, cracks, and/or skin ulcers
500
Patients who are overweight should (select all that apply):
a) be encouraged to start slowly
b) avoid muscle aches by not exercising daily
c)gradually increase pace and duration of exercises
d)avoid exercising in extreme temperatures
answer: A,C,D
500
It is recommended that each person with diabetes is actively engaged with his/her health care provider and dietitian to create a collaborative individualized eating plan by focusing in what three key areas?
What is self management, education, and treatment planning?
500
A diabetic patient should not do the following:
(select all that apply)
A): get a pedicure
B): share nail trimming supplies
C): touch their own feet
D): bite their toe nails