1) KT is 26-weeks pregnant and is

1) KT is 26-weeks pregnant and is given a glucose tolerance test, which measures how quickly glucose is cleared from the blood after ingesting a glucose-rich drink. The results show that her blood glucose levels rise higher than normal and remain above normal for more than three hours. Image transcription text 300 250 200 Blood glucose (mg/100 ml) 150 KT results 100 50 normal pregnant female 2 Glucose Time (hours) given 1A) Several hormones that act during late pregnancy, in particular cortisol and progesterone, cause insulin resistance in peripheral tissues. 1) What is peripheral insulin resistance: a) when the body take too much insulin b) when the body cant make enough insulin c) when the tissues that uptake glucose over react to insulin d) when tissues that uptake glucose can’t respond to insulin 2A) How would peripheral insulin resistance affect blood glucose levels? a) increase b/c the cells can’t store glucose b) decrease because the cells are storing too much glucose c) increase b/c the cells are releasing too much glucose d) decrease b/c the cells can’t make glucose 3A) Why do cortisol and progesterone cause insulin resistance during pregnancy (why would this normally be beneficial for a healthy pregnancy)? a) so the mother has lot’s of energy during pregnancy b) to make sure the baby doesn’t grow too big c) to make sure the mother doesn’t store fat during the pregnancy d) so the baby has plenty of glucose to fuel its growth development 2) In untreated gestational diabetes, what happens to the mom’s blood glucose? Where is the excess blood glucose going? What happens to the baby’s weight? a) In gestational diabetes, the mom’s blood glucose will increase. The excess glucose is going to the baby and the baby will gain extra weight. b) In gestational diabetes, the mom’s blood glucose will increase. The excess glucose is going to the baby and the baby will lose weight. c) In gestational diabetes, the mom’s blood glucose will decrease. The excess glucose is going to the baby and the baby will gain extra weight. d) In gestational diabetes, the mom’s blood glucose will increase. The excess glucose is going into the urine and the baby will lose weight. 3) The rate of obesity continues to rise, as does the rate of type II diabetes: Image transcription text Tracking a health problem U.S. obesity rates have climbed for men and boys and stabilized for women and girls. Adult obesit… Show more Obesity is a key risk factor for Type II Diabetes. Which of the following are examples of how obesity contributes to the pathogenesis of Type II diabetes. Select all that apply. a) Increased adipose size can release resistance factors into the blood b) Genetics plays a role because not all obese people develop type II diabetes and not all diabetics are obese. c) Lack of exercise decrease the muscle’s ability to uptake glucose. d) Poor diet can result in fat deposits in the liver which promote the release of resistance factors and decrease glycogen storage. 4) The incidence of Diabetes has increased significantly over the past 30 years, and is more pronounced in minorities (Hispanic, African-American, and Native American) and lower income individuals. Income disparity also plays a role in treatment of Type II Diabetes. The graph below shows the number of hospital admission attributable to hypoglycemia and appendicitis on each day of the month by income level. Image transcription text Admissions Attributable To Hypoglycemia And Appendicitis Among Patients Ages Eighteen And Older To Accredited Califor… Show more 4A) Why is hypoglycemia a complication associated with diabetes? a) taking too much insulin and eating too much can dangerously lower blood glucose b) not taking insulin can dangerously lower blood glucose c) taking too much insulin and not eating enough can dangerously lower blood glucose d) not taking insulin and eating too much can dangerously lower blood glucose 4B) What symptoms would be associated with hypoglycemia? a) nervousness, hyperactivity and spasms b) weakness, fatigue, confusion, coma, death 4C) The graph above shows that there is a significant increase in hypoglycemic admissions to the hospital in the low socioeconomic class compared to the high at the end of the month, yet no such difference exists for appendicitis. What might explain this disparity at the end of the month for low income individuals? a) they don’t have access to proper healthcare b) they are running out of money for food c) they are running out of medication d) they have a much proper diet

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