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Exam (elaborations)

Clinical Nutrition exam 2 with complete solutions

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  • Clinical Nutrition e
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  • Clinical Nutrition E

1. Summarize the causes and management of diabetes (both type I and type II). correct answersType 1: - Causses: genetic, usually diagnosed young, lack of insulin production, pancreatic atrophy, and specific loss of beta cells in the islets of Langerhans, - hyperglycemia when 80-90% cells lost -"...

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  • August 28, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Clinical Nutrition e
  • Clinical Nutrition e
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QUILLSKY
Clinical Nutrition exam 2

1. Summarize the causes and management of diabetes (both type I and type II). correct answersType 1:

- Causses: genetic, usually diagnosed young, lack of insulin production, pancreatic atrophy, and specific
loss of beta cells in the islets of Langerhans,

- hyperglycemia when 80-90% cells lost

-"honey urine"

- 2 subtypes

1. Autoimmune attack of beta cells

- macrophages, T and B lymphocytes, and NK cells

- HLA-DR3 and HLA-DR4: not everyone has both alleles, and not everyone that has both gets diabetes

2. Idiopathic: nonimmune related (we don't know)



- Treatment: fast-acting and long-lasting forms of insulin

-fast acting is put into subcutaneous layer



Type 2:

- Non-insulin dependent: lose sensitivity to insulin via down-regulation of insulin receptors; "insulin
resistance"

-no receptor = no effect from insulin, need a different treatment

- Major cause: nutrition, obesity, middle age, physical inactivity, genetic inheritance

- Subtypes: gestational (mom and baby)

- Treatment: diet and exercise, metformin (Glucophage), insulin (forces glucose into cells, increases
obesity)



1. Discuss the consequences/complications (both acute and chronic) for diabetes mellitus. correct
answers1. Toxic effects of glucose

2. Circulation problems (CAD-coronary, PAD-peripheral and neuropathy)

3. Neurological issues: retinopathy and neuropathy

, 4. Cardiovascular: stroke and heart attack

5. Somogyi effect: rebound hyperglycemia (undetected hypoglycemia leads to excessive insulin and
unstable diabetes)

6. Dawn phenomenon: rise in BS in the morning

7. Hyperosmolar Hyperglycemic nonketotic state (HHNS):

- Moves water and leads to dehydration: Seizures, DIC

- Type 2

- Caused by: infection, meds, not following diabetes treatment

8. Diabetic ketoacidosis:

- More common in type 1

- Low insulin = burning fatty acids and producing ketone bodies

- Can lead to hypotension

9. Hypoglycemia:

- 1 and 2- insulin shock (poorly managed diabetes)

- Can cause neuroglycopenia (loss of consciousness, brain damage, and death)

10. Acute:

- Polydipsia

- Nervous system malfunction

- Ketoacidosis

- Hypertriglyceridemia

- Weight loss

- Aggravation of hyperglycemia



1. What are some of different options you could provide to someone to help prevent and/or treat type II
diabetes? correct answers- Maintain healthy body weight

- Nutritious eating pattern: moderate in calories, low in saturated fat, high in vegetables, legumes, fruit,
fish, poultry, and whole grains

- Control carbohydrate intake: 130grams/day, 50 g of sugar

- Regular physical activity

- Semaglutide or bariatric surgery: cause weight loss

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