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Diabetes Care
Test Your Knowledge by Sandy Wilbanks
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Across 1. People with Diabetes often feel this emotion because they do not feel they are managing their disease well and they worry about the future. 3. This type of diabetes care involves a team/coordinated approach and is associated with improved outcomes. 4. _________ disease is the leading cause of death and disablility in patients with diabetes. 5. This type of obesity poses an increased risk for type 2 diabetes and cardiovascular disease. 6. ________ hyperglycemia is a risk factor for Cardiovascular Disease and death,does not always correlate with fasting readings. 7. People with diabetes are more likely to be ________ than those in the general population. 9. Help patients design insulin treatment plans that fit their ________. 10. When injecting insulin avoid a 2 inch wide ________ around your navel, which is an area prone to erratic insulin absorption. 11. Consider early __________ for central obesity and the components of the metabolic syndrome much earlier than in common practice. 13. Identifying a specific problem will help you choose a practical target for an ________, a goal you might be able to reach during a typical encounter. 14. Beta cell destruction in Type 2 Diabetes has a ________ nature and patients need to understand that concept. 15. Measurement of HbA1c has become the preferred method of ________ long term glycemic control in patients with diabetes.
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17. Increased levels of free PA1-4 cause impaired ________ that is thought to lead directly to vascular injury. 18. Abbreviation for American Diabetes Association. 19. Help patients find the ________ they need to maintain effective self-management. 22. Good control of blood glucose, BP and cholesterol are dependent on the willingness of the patient and provider to adopt effective ________. 23. Term for normal blood glucose. 24. The ADA has established ________ for diabetes self management training programs and these are published annually. 25. Patients need this during the critical period right after diagnosis and on an ongoing basis as their needs change or as technology advances. 26. Most patients are reluctant to initiate therapy with this and many providers delay prescribing it until absolutely necessary. Sources: Appel SJ, Harrell JS, Davenport ML. Central obesity, the metabolic syndrome, and plasminogen activator inhibigot-1 in young adults. J Am Acad Nurs Pract. 2005; 12(12): 535-541. Gerich GE. The importance of controlling postprandial hyperglycemia. Practical Diabetologia. 2005; 24(4): 22. Peyrot M, Rubin RR, Lauritzen T, International DAWN Advisory Panel. Patient and provider perceptions of care for diabetes: results of the cross-national DAWN study. Practical Diabetologia. 2005; 24(4): 1-10. The Answer Key will be printed in the April issue.
The Journal for Nurse Practitioners - JNP
1. A measure of diabetes control, HbA1c. (2 words) 2. This is the ultimate diabetes control to strive for. 3. "This group of complications of type 2 diabetes account for most of the mortality and includes heart disease and hypertension." 4. When dealing with patients ________ is rarely productive, they need encouragement and support to be able to take care of their diabetes. 5. Depressed mood and anhedonia are called the ________ symptoms of depression. 6. These people have less access to diabetes self management training and support. 7. This disease is now recognized as an independent risk factor for cardiac disease. 8. A depression screening question to ask patients is "During the past 2 weeks, have you lost interest or ________ in doing things?" 10. This total level should be less than 200 mg/dl. 11. Patients need to develop effective _______ for dealing with sources of diabetes-related distress. 12. This is a rare side effect of the diabetic drug Metformin. 13. Better ________ coverage is needed for patients with Diabetes to receive training, counseling and effective therapies. 15. Eye, Kidney and limb complications of Diabetes are included in this group. 16. HbA1c is a measurement of ________ control. 17. "Positive ________ from a patients healthcare provider is very powerful." 18. Term for depressed mood and loss of interest and pleasure. 19. Central obesity is at the core of a cluster of disturbances known as the ________ syndrome. 20. "Treatment plans must be based on the patients ________, needs, and concerns." 21. When helping patients cope with their diabetes, it is important to identify a ________ source of distress. 23. When dealing with diabetes," always address the patients ________ well-being." 24. Effective ________-management is the key to improving outcomes in diabetes care. 25. Self management of Diabetes is not ________! 26. Abbreviation for Intramuscular. Sandra Willbanks, APRN, MSN, FNP, practices in general pediatric and adult neurology in Midland, Michigan. She can be reached at [email protected] 1555-4155/06/$ see front matter © 2006 Elsevier Inc. All rights reserved. doi: 10.1016/j.nurpra.2006.01.019
March 2006
Diabetes Care 1
Down
2
3
4
5
6
7 8 10
9
11
12 13 14 15
16
17
18 19 20
21
22
23 24
25
26
Across 1. People with Diabetes often feel this emotion because they do not feel they are managing their disease well and they worry about the future. 3. This type of diabetes care involves a team/coordinated approach and is associated with improved outcomes. 4. _________ disease is the leading cause of death and disablility in patients with diabetes. 5. This type of obesity poses an increased risk for type 2 diabetes and cardiovascular disease. 6. ________ hyperglycemia is a risk factor for Cardiovascular Disease and death,does not always correlate with fasting readings. 7. People with diabetes are more likely to be ________ than those in the general population. 9. Help patients design insulin treatment plans that fit their ________. 10. When injecting insulin avoid a 2 inch wide ________ around your navel, which is an area prone to erratic insulin absorption. 11. Consider early __________ for central obesity and the components of the metabolic syndrome much earlier than in common practice. 13. Identifying a specific problem will help you choose a practical target for an ________, a goal you might be able to reach during a typical encounter. 14. Beta cell destruction in Type 2 Diabetes has a ________ nature and patients need to understand that concept. 15. Measurement of HbA1c has become the preferred method of ________ long term glycemic control in patients with diabetes.
212
17. Increased levels of free PA1-4 cause impaired ________ that is thought to lead directly to vascular injury. 18. Abbreviation for American Diabetes Association. 19. Help patients find the ________ they need to maintain effective self-management. 22. Good control of blood glucose, BP and cholesterol are dependent on the willingness of the patient and provider to adopt effective ________. 23. Term for normal blood glucose. 24. The ADA has established ________ for diabetes self management training programs and these are published annually. 25. Patients need this during the critical period right after diagnosis and on an ongoing basis as their needs change or as technology advances. 26. Most patients are reluctant to initiate therapy with this and many providers delay prescribing it until absolutely necessary. Sources: Appel SJ, Harrell JS, Davenport ML. Central obesity, the metabolic syndrome, and plasminogen activator inhibigot-1 in young adults. J Am Acad Nurs Pract. 2005; 12(12): 535-541. Gerich GE. The importance of controlling postprandial hyperglycemia. Practical Diabetologia. 2005; 24(4): 22. Peyrot M, Rubin RR, Lauritzen T, International DAWN Advisory Panel. Patient and provider perceptions of care for diabetes: results of the cross-national DAWN study. Practical Diabetologia. 2005; 24(4): 1-10. The Answer Key will be printed in the April issue.
The Journal for Nurse Practitioners - JNP
1. A measure of diabetes control, HbA1c. (2 words) 2. This is the ultimate diabetes control to strive for. 3. "This group of complications of type 2 diabetes account for most of the mortality and includes heart disease and hypertension." 4. When dealing with patients ________ is rarely productive, they need encouragement and support to be able to take care of their diabetes. 5. Depressed mood and anhedonia are called the ________ symptoms of depression. 6. These people have less access to diabetes self management training and support. 7. This disease is now recognized as an independent risk factor for cardiac disease. 8. A depression screening question to ask patients is "During the past 2 weeks, have you lost interest or ________ in doing things?" 10. This total level should be less than 200 mg/dl. 11. Patients need to develop effective _______ for dealing with sources of diabetes-related distress. 12. This is a rare side effect of the diabetic drug Metformin. 13. Better ________ coverage is needed for patients with Diabetes to receive training, counseling and effective therapies. 15. Eye, Kidney and limb complications of Diabetes are included in this group. 16. HbA1c is a measurement of ________ control. 17. "Positive ________ from a patients healthcare provider is very powerful." 18. Term for depressed mood and loss of interest and pleasure. 19. Central obesity is at the core of a cluster of disturbances known as the ________ syndrome. 20. "Treatment plans must be based on the patients ________, needs, and concerns." 21. When helping patients cope with their diabetes, it is important to identify a ________ source of distress. 23. When dealing with diabetes," always address the patients ________ well-being." 24. Effective ________-management is the key to improving outcomes in diabetes care. 25. Self management of Diabetes is not ________! 26. Abbreviation for Intramuscular. Sandra Willbanks, APRN, MSN, FNP, practices in general pediatric and adult neurology in Midland, Michigan. She can be reached at [email protected] 1555-4155/06/$ see front matter © 2006 Elsevier Inc. All rights reserved. doi: 10.1016/j.nurpra.2006.01.019
March 2006