Which classification of diabetes mellitus is primarily characterized by insulin resistance and relative insulin deficiency?
Type 1 diabetes mellitus.
Type 2 diabetes mellitus.
Gestational diabetes mellitus.
Secondary diabetes mellitus.
The Correct Answer is B
Type 2 diabetes mellitus is characterized by insulin resistance, where cells do not effectively respond to insulin, and relative insulin deficiency due to impaired beta cell function.
Incorrect choices:
a. This choice is incorrect. Type 1 diabetes mellitus involves autoimmune destruction of beta cells and an absolute insulin deficiency.
c. This choice is incorrect. Gestational diabetes mellitus occurs during pregnancy and may involve a combination of insulin resistance and impaired insulin secretion.
d. This choice is incorrect. Secondary diabetes mellitus is caused by other medical conditions or factors, not primarily by insulin resistance and relative insulin deficiency.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The HbA1c test measures the average blood glucose level over the past 2-3 months and provides information about long-term glucose control. It is commonly used to monitor diabetes management and assess the effectiveness of treatment.
Incorrect choices:
a. This choice is incorrect. The fasting blood glucose test measures blood glucose levels after an overnight fast and provides information about current glucose levels, not long-term control.
b. This choice is incorrect. The OGTT measures the body's ability to clear glucose from the blood and is used to diagnose diabetes and impaired glucose tolerance, but it is not typically used for assessing long-term glucose control.
d. This choice is incorrect. The C-peptide test is used to assess insulin production by the pancreas and is not typically used to assess long-term glucose control.
Correct Answer is B
Explanation
Basal-bolus insulin therapy involves administering a continuous basal insulin infusion to provide background insulin coverage and delivering bolus doses of insulin before meals to cover postprandial glucose elevations.
Incorrect choices:
a. This choice is incorrect. Oral antidiabetic medications are not used in basal-bolus insulin therapy.
c. This choice is incorrect. Sliding-scale insulin therapy involves adjusting insulin doses based on current blood glucose levels, rather than providing consistent basal and mealtime coverage.
d. This choice is incorrect. Insulin glargine therapy provides long-acting basal insulin coverage but does not involve bolus doses before meals.
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