Type 2 diabetes is a problem of:

Choice A reason: Risk factors for type 2 diabetes include hypertension, family history, and obesity. These factors increase the likelihood of developing type 2 diabetes. Hypertension, or high blood pressure, is often seen in individuals with type 2 diabetes due to the correlation between these conditions. A family history of diabetes indicates a genetic predisposition to the disease. Obesity, particularly central obesity (excess fat around the abdomen), is a significant risk factor as it contributes to insulin resistance, a key component in the pathophysiology of type 2 diabetes.

Choice B reason: The onset of type 2 diabetes is typically gradual, which means that it develops slowly over time. Many individuals may have prediabetes for years before their condition progresses to type 2 diabetes. This gradual onset can make it challenging to diagnose early, as symptoms may be mild or absent initially. Early detection through routine screening and awareness of risk factors is essential in managing and preventing the progression of the disease.

Choice C reason: Type 2 diabetes accounts for approximately 90-95% of all diabetes cases. It is the most common form of diabetes and is primarily characterized by insulin resistance and relative insulin deficiency. Unlike type 1 diabetes, where the body's immune system attacks and destroys insulin-producing cells, type 2 diabetes typically develops due to a combination of genetic and lifestyle factors, such as poor diet and lack of physical activity.

Choice D reason: Significant weight loss is not a typical sign of type 2 diabetes. Instead, it is more commonly associated with type 1 diabetes, where the body cannot produce insulin, leading to the breakdown of fat and muscle for energy. In type 2 diabetes, weight loss may occur if blood sugar levels are very high, but it is not a common initial symptom. More commonly, individuals with type 2 diabetes may experience symptoms such as increased thirst, frequent urination, and fatigue.

Choice A reason: Increasing red meat in the diet is not an appropriate treatment for hypovolemia due to hemorrhage. While red meat contains iron, which is important for blood production, it does not address the immediate need to replace lost blood volume.

Choice B reason: Infusing D5NS (5% Dextrose in Normal Saline) at 75 ml/hr for 10 hours may help replenish fluid volume, but it does not provide the necessary components to replace lost blood cells and clotting factors. This option is not sufficient for severe hemorrhage.

Choice C reason: Replacement of volume with blood products is the treatment of choice for hypovolemia due to hemorrhage. Blood transfusions provide the necessary red blood cells, plasma, and clotting factors to restore blood volume and improve oxygen delivery to organs. This is crucial in managing severe blood loss and preventing complications such as hypovolemic shock.

Choice D reason: Increasing H2O (water) intake to 400 ml/4 hr for 24 hours is not an appropriate treatment for hypovolemia due to hemorrhage. While hydration is important, it does not address the immediate need to replace lost blood volume and components.