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CHAPTER SEVEN. Diabetes and the Diabetic Foot

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

a. Fasting plasma glucose of >140 mg/dL

b. HbA1C of 6%

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

d. Fasting plasma glucose ≥126 mg/dL

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

a. Creatinine

b. Fasting blood glucose levels

c. Hemoglobin HbA1C

d. Oral glucose tolerance

The primary goal of medical nutrition therapy in diabetes is

a. To help the patient lose weight.

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

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

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

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

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

b. After the patient first experiences pain.

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

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

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

a. Custom orthotic inserts.

b. Total contact cast.

c. Removable cast walker.

d. Accommodative felt padding.

The center of axis of the foot is defined as

a. The medial aspect of the midfoot.

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

c. The second metatarsal and the accompanying cuneiform.

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