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CHAPTER SEVEN. Diabetes and the Diabetic Foot

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Which of the following is one of the diagnosing criteria for diabetes?

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a. Fasting plasma glucose of >140 mg/dL

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b. HbA1C of 6%

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c. 2-hour PG ≥ 140 mg/dL and <199 mg/dL

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d. Fasting plasma glucose ≥126 mg/dL

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The measurement used to determine the patient’s blood glucose control over a 2- to 3-month period of time is

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a. Creatinine

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b. Fasting blood glucose levels

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c. Hemoglobin HbA1C

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d. Oral glucose tolerance

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The primary goal of medical nutrition therapy in diabetes is

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a. To help the patient lose weight.

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b. To increase the amount of protein in the diet.

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c. To decrease the amount of carbohydrates and fats in the diet.

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d. To help the patient achieve optimal blood glucose levels.

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The critical time for initiating standard care of a neuropathic wound in order to prevent infection is

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a. Within 4 weeks of the onset of the wound.

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b. After the patient first experiences pain.

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c. When the patient blood sugars are greater than 200 mg/dL.

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d. When the wound has progressed to full-thickness skin loss.

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A patient is referred to your clinic with a full-thickness wound that involves the subcutaneous tissue, but no exposed bone or tendon. Evaluation reveals severe hammer toes with fat pad migration and dropped metatarsal heads. The most appropriate off-loading device based on the Temple University classification system would be

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a. Custom orthotic inserts.

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b. Total contact cast.

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c. Removable cast walker.

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d. Accommodative felt padding.

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The center of axis of the foot is defined as

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a. The medial aspect of the midfoot.

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b. The midfoot from the metatarsal heads to the heel pad.

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c. The second metatarsal and the accompanying cuneiform.

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