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You are caring for a patient with a new diagnosis of Diabetes Mellitus Type 1. The patient is upset and states "How could this happen? I eat a vegan diet and get plenty of exercise". What is your BEST response?

A.

This type of Diabetes is likely related to your high LDL levels

B.

This type of Diabetes is probably related to your waist size and ethnicity

C.

This type of Diabetes has to do with the hormone ADH

D.

This type of Diabetes is thought to be an Autoimmune disorder caused by genetic factors and stress

Answer and Explanation

The Correct Answer is D

A.    Type 1 Diabetes Mellitus (T1DM) is not directly related to LDL (low-density lipoprotein) levels, which are typically associated with cardiovascular health rather than T1DM.
B.    Type 1 Diabetes Mellitus is not associated with waist size or ethnicity. Waist size and ethnicity are more relevant to Type 2 Diabetes Mellitus, which is influenced by lifestyle factors such as diet and exercise.
C.    ADH (antidiuretic hormone) primarily regulates water balance in the body and is not directly related to the pathogenesis of Type 1 Diabetes Mellitus.
D.    Type 1 Diabetes Mellitus is indeed an autoimmune disorder. It is caused by the immune system mistakenly attacking insulin-producing beta cells in the pancreas. Genetic factors play a significant role in predisposing individuals to T1DM, and while stress may exacerbate symptoms, it is not the primary cause.
 


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Related Questions

Correct Answer is A

Explanation

A. Asthma is a reversible obstructive airway disease characterized by inflammation and narrowing of the airways. With proper management and medication, asthma symptoms can be controlled, and airway obstruction can be reversed.
B. COPD is a progressive, irreversible lung disease that involves damage to the alveoli and airways. While symptoms can be managed, the underlying lung damage is permanent.
C. Emphysema is a type of COPD characterized by destruction of the alveoli. It is irreversible.
D. Bronchitis is inflammation of the bronchial tubes. While acute bronchitis can be reversed, chronic bronchitis is a component of COPD and is therefore irreversible.

Correct Answer is C

Explanation

A. While this is appropriate for mild hypoglycemia, the patient is lethargic, indicating a more severe state.
B. While the provider should be notified, immediate intervention is necessary to treat the hypoglycemia.
C. A blood glucose of 52 is dangerously low, and the patient is exhibiting symptoms of severe hypoglycemia. Administering 15 grams of simple carbohydrates, such as glucose tablets or juice, is the quickest way to raise blood sugar levels.
D. While rechecking blood glucose is important, it is not the priority. Immediate intervention to raise blood sugar levels is crucial.

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