developing top-notch cnas, one inservice at a time
a disease process module:
understanding diabetes
are you \in the know\ about diabetes? circle the best choice or fill in your answer.
then check your answers with your supervisor!
1. diabetes is the leading cause of this problem:
a. lower limb amputation. c. stroke.
b. kidney disease. d. all of these.
2. which of these is needed to help glucose enter the cells for storage?
a. sugar. c. water.
b. insulin. d. fats.
3. your client asks you if it’s okay to have a piece of birthday cake at her granddaughters birthday party. you should tell her:
a. it’s not okay. cake is full of sugar.
b. to increase her insulin dose before eating sweets.
c. it’s okay to have a very small piece on this special occasion.
d. none of these are correct.
4. the best test for diagnosing diabetes is the
a. a1c c. fasting glucose test.
b. finger stick. d. ultrasound of the liver.
5. true or false
people who take insulin are less likely to suffer from hypoglycemia (low blood sugar).
6. true or false
most people have some ability to control their blood sugar with diet and exercise.
7. true or false
tingling, burning or a sharp, jabbing pain in the legs may be a sign of diabetic retinopathy.
8. true or false
exercise helps the body use food and insulin better.
9. true or false
increased thirst and frequent urination are common symptoms of diabetes.
10. true or false
sugar is the only food that causes blood sugar to go up.

Question

developing top-notch cnas, one inservice at a time
a disease process module:
understanding diabetes
are you \in the know\ about diabetes? circle the best choice or fill in your answer.
then check your answers with your supervisor!
1. diabetes is the leading cause of this problem:
a. lower limb amputation.  c. stroke.
b. kidney disease.  d. all of these.
2. which of these is needed to help glucose enter the cells for storage?
a. sugar.  c. water.
b. insulin.  d. fats.
3. your client asks you if it’s okay to have a piece of birthday cake at her granddaughters birthday party. you should tell her:
a. it’s not okay. cake is full of sugar.
b. to increase her insulin dose before eating sweets.
c. it’s okay to have a very small piece on this special occasion.
d. none of these are correct.
4. the best test for diagnosing diabetes is the
a. a1c  c. fasting glucose test.
b. finger stick.  d. ultrasound of the liver.
5. true or false
people who take insulin are less likely to suffer from hypoglycemia (low blood sugar).
6. true or false
most people have some ability to control their blood sugar with diet and exercise.
7. true or false
tingling, burning or a sharp, jabbing pain in the legs may be a sign of diabetic retinopathy.
8. true or false
exercise helps the body use food and insulin better.
9. true or false
increased thirst and frequent urination are common symptoms of diabetes.
10. true or false
sugar is the only food that causes blood sugar to go up.

Accepted Answer

### Question 1
# Brief Explanations:
Diabetes can lead to lower limb amputation (due to poor circulation and nerve damage), kidney disease (diabetic nephropathy), and stroke (due to cardiovascular complications). So all these problems are linked to diabetes as a leading cause.
# Answer:
D. All of these.

### Question 2
# Brief Explanations:
Insulin is a hormone that acts as a key to allow glucose to enter cells for storage or energy use. Sugar, water, and fats do not have this role in facilitating glucose entry into cells.
# Answer:
B. Insulin.

### Question 3
# Brief Explanations:
For a diabetic patient, completely avoiding sweets is too restrictive, and adjusting insulin dose should be done with medical guidance, not on one's own. Having a very small piece on a special occasion, while still being mindful of overall blood sugar control, is a balanced approach.
# Answer:
C. It’s okay to have a very small piece on this special occasion.

### Question 4
# Brief Explanations:
The A1c test (glycated hemoglobin) measures average blood sugar over 2 - 3 months, which is a very effective test for diagnosing diabetes and monitoring long - term control. A finger stick is for immediate blood sugar, fasting glucose is also used but A1c is more comprehensive for diagnosis, and liver ultrasound is not for diabetes diagnosis.
# Answer:
A. A1c

### Question 5
# Brief Explanations:
People who take insulin are at a higher risk of hypoglycemia because insulin lowers blood sugar, and if the dose is too high or not balanced with food, it can cause low blood sugar. So the statement is false.
# Answer:
False

### Question 6
# Brief Explanations:
Diet (controlling carbohydrate intake, for example) and exercise (increasing insulin sensitivity) are important lifestyle factors that most people with diabetes can use to help control their blood sugar levels. So the statement is true.
# Answer:
True

### Question 7
# Brief Explanations:
Tingling, burning, or sharp pain in the legs is a sign of diabetic neuropathy (nerve damage), while diabetic retinopathy affects the eyes (vision problems, etc.). So the statement is false.
# Answer:
False

### Question 8
# Brief Explanations:
Exercise increases insulin sensitivity, meaning the body can use insulin more effectively, and also helps the body utilize food (glucose) better for energy, which aids in blood sugar control. So the statement is true.
# Answer:
True

### Question 9
# Brief Explanations:
In diabetes, high blood sugar causes the kidneys to try to eliminate excess sugar, leading to frequent urination. This loss of fluid then causes increased thirst. So these are common symptoms of diabetes.
# Answer:
True

### Question 10
# Brief Explanations:
Carbohydrates (including starches like bread, pasta, etc.) are broken down into glucose and also raise blood sugar. So sugar is not the only food that causes blood sugar to go up. The statement is false.
# Answer:
False

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