Author Question: A 65-year-old man is diagnosed with type 2 diabetes mellitus. Which patient symptom(s) would ... (Read 73 times)

cabate · **on:** Jul 24, 2018

A 65-year-old man is diagnosed with type 2 diabetes mellitus. Which patient symptom(s) would indicate type 1 diabetes mellitus and not type 2? (Select all that apply.)

a. Impotence
b. Increased thirst over the past week
c. A 10-pound weight loss within the past month
d. Polyphagia
e. Ketoacidosis

Question 2

Which dietary control measures are used in the management of diabetes mellitus? (Select all that apply.)

a. Specific daily caloric requirements
b. Consistent carbohydrate diabetes meal plan
c. 50 intake of carbohydrates daily
d. Adjustments to daily meals according to age, metabolic stress, pregnancy, and advanced age and/or older adults
e. 20 intake of proteins daily

emsimon14 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: B, C, D, E
Diabetes type 2 symptoms are insidious and patients present when symptoms may have been apparent for a prolonged time. Polydipsia, a 10-pound weight loss over this short period (1 month), polyphagia, and ketoacidosis are associated with type 1 diabetes. Onset of diabetes type 2 symptoms is usually in the fourth decade of life. Impotence is a symptom associated with type 2 diabetes mellitus.

Answer to Question 2

ANS: B, C, D, E
Meal planning systems are used with the diabetic patient. The consistent carbohydrate diabetes meal plan is used, with an emphasis on consistency of timing of meals and snacks. Daily meals and snacks provide 1500 to 2000 calories, with 50 of the calories from carbohydrates, 20 from protein, and 30 from fat. Individualized adjustments may be required with children, adolescents, metabolically stressed patients, pregnant women, and geriatric patients. Specific daily caloric requirement is not a primary consideration in calculating calorie requirements for a diabetic patient.