40 Questions:

1. How many people are currently diagnosed with diabetes in the United States?

a. 2 million
b. 10 million
c. 24 million
d. 54 million

2. What is the level of the fasting blood glucose for a diagnosis of diabetes?

a. 70 mg/dl
b. 140 mg/dl
c. 150 mg/dl
d. 156 mg/dl

3. What causes the beta cells of the pancreas to no longer make enough insulin in type 1 diabetes?

a. The body's immune system has attacked and destroyed them
b. Obesity and poor eating habits
c. Inactivity and excessive weight gain
d. The effects of pregnancy

4.How does type 2 diabetes differ from type 1?

a. Type 2 develops later in life
b. Typical type 2 patient is overweight
c. Symptoms in type 2 diabetes develop gradually
d. All of the above

5. Which of the following factors are involved in the development of type 1 diabetes?

a. Age and physical inactivity
b. Impaired glucose tolerance
c. Race/ethnicity
d. Autoimmune, genetic, and environmental

6. What percentage of women in the United States develop gestational diabetes?

a. 1%
b. 2%
c. 3%
d. 4%

7. Which of the following identifies the process where excess glucose is converted into fat?

a. Lipogenesis
b. Glycogenesis
c. GLUT2
d. Gastroparesis

8. According to the National Library of Medicine which of the following is the most accurate time definition for fasting?

a. More than 6 hours without food
b. More than 8 hours without food
c. More than 10 hours without food
d. More than 12 hours without food

9. Of the 23.6 million American's estimated to have diabetes by the American Dietetic Association, how many do not know that they have diabetes?

a. 1.2 million
b. 2.2 million
c. 5.7 million
d. 8.2 million

10. What is the CDC's estimated overall risk of death among people with diabetes versus those without diabetes at a similar age?

a. No difference
b. Twice
c. Four times
d. No definitive answer

11. How much is the increase in medical expenditures for people diagnosed with diabetes?

a. 2.2 times higher
b. 1.7 times higher
c. .5 times higher
d. Remained the same

12. What is the total dollar amount reported by the CDC for the annual direct and indirect cost of diabetes?

a. $55 billion
b. $102 billion
c. $174 billion
d. $356 billion

13. What results does the A1C test show?

a. Blood sugar level for the past 1 or 2 months
b. Blood sugar level for the past 2 or 3 months
c. Blood sugar level for the past 3 or 5 months
d. Blood sugar level for the past 4 or 5 months

14. How often does the ADA recommend that an A1C test be completed?

a. Once a month
b. Twice a year
c. Once a year
d. Every 18 months

15. Which of the following best explains how weight loss helps people with diabetes?

a. Increases cardiovascular resilience
b. Reduces blood pressure and weight excursion
c. Lowers chance of heart attacks and strokes
d. Lowers insulin resistance and improves the blood fat and blood pressure levels

16. What does it mean if the person's blood glucose level stays over 180?

a. Blood glucose is too low and there is too much insulin in the body
b. Blood glucose is in the normal range and there is a normal level of insulin
c. Blood glucose is too high and there is not enough insulin in the body
d. Blood glucose is too high and there is too much insulin in the body

17. How can hypoglycemia be prevented?

a. Eat regular meals
b. Take diabetes medicine
c. Check blood glucose often
d. All of the above

18. Which food has the most effect on blood sugar?

a. Carbohydrates
b. Fat
c. Animal protein
d. Alcohol

19. Which of the following terms best describes a diabetic coma?

a. Hyperglycemia
b. Hypoglycemia
c. Ketoacidosis
d. LDL Glycemia

20. How are blood glucose levels affected by eating?

a. Increases for 1 to 2 hours
b. Increases for 2 to 3 hours
c. Decreases for 1 to 2 hours
d. Stays the same

21. What changes in eating habits does the ADA advise may help manage cholesterol levels?

a. Decreasing cholesterol levels to under 400 mg per day
b. Eating less fiber per day
c. Eating smaller, more frequent meals throughout the day
d. Eating smaller meals for dinner

22. What has the CDC identified as the most effect type 1 diabetes prevention option?

a. Meal planning
b. Nutrition management
c. Exercise and weight loss
d. Type 1 prevention remains illusive

23. What percentage of adults did the CDC report had attended a diabetes self-management class within the past year?

a. 23.7%
b. 43.7%
c. 53.7%
d. 63.7%

24. Which of the following are included in the ADA's Medical Nutrition Therapy clinical goals?

a. Achieve and maintain near-normal glucose levels
b. Achieve optimal blood lipid levels
c. Improve or maintain overall health through optimal nutrition
d. All of the above

25. How does the ADA recommend a meal plate be divided for proper nutrition?

a. One-quarter grain or starch, one-quarter protein, and one-half add color to the plate
b. One-quarter grain or starch, one-half protein, and one-quarter add color to the plate
c. One-half grain or starch, one-quarter protein, and one-quarter add color to the plate
d. One-third grain or starch, one-third protein, and one-third add color to the plate

26. Why is the Diabetes Food Pyramid different than the USDA Food Guide Pyramid

a. Reflects a balanced meal plan since diabetics need less whole grain
b. Based on carbohydrate and protein content instead by food classification
c. So Calorie content is the same is all serving sizes
d. Eliminates the imbalance of protein in the USDA Food Guide Pyramid

27. How is the diabetes exchange food plan best described?

a. Meal plan that compensates for the diabetics unique dietary requirements
b. Manages the blood sugar and weight goals
c. Allows for increased carbohydrate food selection and lower blood sugar
d. Food program that balances the amounts of carbohydrates eaten each day

28. Which of the following actions makes it easier to manage blood sugar?

a. Vary the amount of carbohydrates each meal
b. Eat consistent amounts of carbohydrates each meal
c. Determine carbohydrates based upon the daily glucose log
d. Eat consistent amounts of sugars and starches each meal

29. Which of the following recommended basic therapies are most typically associated with type 1 diabetes?

a. Healthy eating
b. Physical activity
c. Insulin injections
d. Blood glucose testing

30. Which of the following best describes the element of the population that is most likely to develop type 2 diabetes after age 10?

a. Minorities
b. Non-Hispanic whites
c. Asian Americans
d. Hispanic males

31. What are the main complications of GDM?

a. Decreased fetal size
b. Increase fetal size
c. Birth defects
d. Respiratory problems

32. What factors put children at greater rish for developing type 2 diabetes?

a. Overweight or obesity
b. Insulin resistant
c. Consistent level of beta cell destruction
d. Have a family history of type 2 diabetes

33. What symptom(s) differentiate new/onset type 1 diabetes from a GI "bug"?

a. Muscle ache
b. Frequent urination that accompanies continued vomiting
c. Weight gain
d. Weight loss

34. What is the name for the mixed elements of type 1 and type 2 diabetes?

a. Pancreatic diabetes
b. Hybrid
c. Insulin resistance diabetes
d. Obesity related diabetes

35. What is the cause of maturity-onset diabetes (MODY)?

a. Single gene defect
b. Environmental trigger
c. Gender related
d. Low carbohydrate diet

36. What puts a child at high risk for type 1 diabetes?

a. First degree relative of someone with type 1 diabetes
b. Obesity
c. Diabetic neuropathy
d. Gastrointestinal problems

37. What is the testing criteria use do identify children with type 2 diabetes?

a. BMI greater than 85 percentile
b. Family history of diabetes
c. Signs of insulin resistance
d. All of the above

38. When hypoglycemia is recognized in a child what immediate steps should be taken?

a. Drink or eat concentrated sugar
b. Drink or eat protein
c. Drink or eat carbohydrates
d. Drink or eat dairy based products

39. What is the best way to prevent neuropathies?

a. Low carbohydrate diet plan
b. Moderate daily exercise
c. Increase insulin levels
d. Keep blood glucose levels as close to normal as possible

40. What is the goal for LDL cholesterol in children/adolescents with diabetes?

a. Greater than 130 mg/dl
b. Greater than 100 mg/dl
c. Less than 100 mg/dl
d. Less than 130 mg/dl