The nurse is talking to a new nurse about gestational diabetes. Which of the following information should the nurse provide?

This type of diabetes is caused by a decrease in endogenous insulin and/or increased insulin resistance.

This type of diabetes can be medication-induced or related to a medical condition such as pancreatic function or hormonal abnormalities.

Gestational diabetes is caused by the presence of antibodies to insulin so exogenous insulin is needed.

Gestational diabetes is a type of diabetes where glucose intolerance is often transitory.

Answer and Explanation

The Correct Answer is D

A. Gestational diabetes (GDM) is indeed characterized by insulin resistance, which often worsens as the pregnancy progresses. However, the problem is not always a decrease in endogenous insulin but more of a relative insulin resistance in response to the hormones produced during pregnancy.
B. This description is more fitting for other types of diabetes, such as type 2 diabetes, where certain medications or conditions (like pancreatic disease or hormonal issues) can affect insulin production or action. Gestational diabetes is not typically caused by these factors.
C. Gestational diabetes is not caused by antibodies to insulin. It is a form of diabetes that develops during pregnancy due to hormonal changes that lead to insulin resistance. Some women may need insulin therapy to manage it, but this is not due to antibodies to insulin.
D. Gestational diabetes is a type of diabetes where glucose intolerance is often transitory. Gestational diabetes typically develops during pregnancy and often resolves after childbirth. However, women who have had gestational diabetes are at an increased risk of developing type 2 diabetes later in life, even though the condition may resolve postpartum.

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Correct Answer is A

Explanation

A. Foot care is crucial for individuals with diabetes due to the increased risk of neuropathy and poor circulation. Daily inspection for cuts, blisters, or other injuries is vital to prevent infections and complications, such as diabetic ulcers or amputations.
B. Heating pads should not be used by people with diabetes, as they may not be able to feel the heat due to diabetic neuropathy. This increases the risk of burns and injury. It is safer to use other methods for warming hands and feet, such as wearing socks or gloves.
C. People with diabetes are at an increased risk for infections, including pneumonia. The pneumonia vaccine (PPSV23 and/or PCV13) is recommended for individuals with diabetes to help reduce the risk of pneumonia. This statement is false.
D. People with diabetes should have regular eye examinations, but they should be scheduled annually, not every 5 years. Diabetes can lead to diabetic retinopathy, which can cause vision loss if not monitored and treated promptly. Annual eye exams are recommended to detect any changes early.

A. Your pancreas is not secreting enough insulin to help regulate your blood sugar level. B. Your pancreas is not breaking down glycogen that leads to increased blood sugar level. C. Your liver is secreting too much glucagon and that leads to increased blood sugar level. D. Your liver is absorbing too much insulin that is why it cannot be used by the blood.

Correct Answer is A

Explanation

A. In type 1 diabetes, the pancreas either does not produce any insulin or produces very little insulin. Insulin is necessary to help regulate blood sugar levels by allowing glucose to enter cells. In type 2 diabetes, the body may not respond to insulin effectively (insulin resistance), or the pancreas may not produce enough insulin to meet the body's needs. Either way, insulin production or function is impaired, leading to elevated blood sugar levels.
B. The pancreas does not break down glycogen. Instead, the liver breaks down glycogen into glucose when blood sugar is low. The pancreas's role in diabetes is primarily related to insulin production or secretion, not the breakdown of glycogen.
C. Glucagon is a hormone produced by the pancreas that signals the liver to release glucose when blood sugar is low. In diabetes, the issue is typically with insulin production or the body’s response to insulin, not an overproduction of glucagon.
D. This statement is confusing. The liver does not absorb insulin. In type 2 diabetes, the problem is typically insulin resistance, meaning the body’s cells, including those in the liver, do not respond properly to insulin. In type 1 diabetes, the issue is a lack of insulin production.

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The nurse is talking to a new nurse about gestational diabetes. Which of the following information should the nurse provide?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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