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Answers to OCT-NOV’25

 

  1. Damage to the nerves due to Diabetes can lead to –

d: All of these – Uncontrolled Diabetes can affect the feet, kidney, heart and eyes.

High blood glucose levels affect the functioning of the heart and cause hardening of the arteries. This affects the blood flow in the nerves and causes decreased sensation in the nerves especially in the feet. Poor blood circulation in the nerves can also affect the digestion and give rise to problems such as poor digestion, nausea and diarrhoea.

  1. Pregnant women with Diabetes may require multi-specialised care.

a: True – Pregnant women may require multi- specialised care to manage their Diabetes during pregnancy. A pregnant woman may require insulin to manage her blood glucose levels. A diabetologist can help her manage her insulin requirement during pregnancy. An obstetrician can provide close monitoring of the health of both the mother with Diabetes and the foetus. A dietician can help her to

create a diet plan based on her health parameters and calorie requirement. A

physiotherapist can help her in creating an exercise plan to keep fit during her pregnancy.

  1. High LDL-C levels pose a great risk to the heart health.

a: True – Cholesterol levels are carried by two types of lipoproteins in our body – high-density lipoproteins (or good cholesterol) and low-density lipoproteins (or bad cholesterol). High levels of bad cholesterol create plaque in the linings of the blood vessels and block the blood flow in the arteries of the heart. This can severely affect the functioning of the heart and can also cause heart attack.

  1. Every person with Type 2 Diabetes requires insulin every day.

b: False – Type 2 Diabetes occurs as a result of insulin resistance, that is, the body loses its sensitivity to insulin. Insulin sensitivity can be improved with diet, exercise and medication. Only

27 per cent of people with Type 2 Diabetes are prescribed insulin when blood glucose levels are difficult to manage with medication, diet and exercise alone.

  1. What physical activity is ideal for people with Diabetes related foot problems?

a: Swimming – People with diabetic neuropathy have lowered sensation in their feet. They are recommended to put minimum pressure on their feet to avoid wounds and injuries. Land activities such as jogging and

weightlifting can further affect the sensation in the feet. Swimming reduces the amount of pressure put on the feet and is thus a great exercise option for people with Diabetes related foot problems.

  1. High cholesterol can be managed with –

d: All of these – Fibre-rich foods bind with cholesterol particles in the stomach and expel them out of the body before they are absorbed by the blood. This prevents clogging and deposition on the walls of the arteries and prevents heart problems. Sterols and stanols are naturally available in green

vegetables, nuts, grains, legumes, fruits and seeds. Research studies have shown that sterols and stanols can block the absorption of cholesterol by 14 per cent.

  1. The effect of insulin depends on –

d: a and c – The effect of insulin depends on various reasons. Insulin is considered to be better absorbed when administered in the abdomen. This leads to quicker absorption in comparison to the rest of the sites, that is, thighs, buttocks and arms. Also, your activity level can significantly affect insulin absorption. Where increased activity level leads to quicker absorption, it may also cause hypoglycaemia if not checked in time.

  1. Diabetic retinopathy can lead to loss of

a: True – Diabetic retinopathy occurs due to high blood glucose levels in the body. The blood vessels reaching to the retina get swollen due to high blood glucose levels. The symptoms develop gradually and if left untreated can cause complete loss of vision.

  1. Insulin pump helps in –

d: All of these – Insulin pumps deliver insulin according to the requirement of the body. Once inserted, the patch is fit to use for 3-4 days. This reduces the amount of insertion and also ensures faster and effective insulin

delivery. Insulin through the pump ensures accurate delivery of the required dosage. New generation of insulin pumps are modelled to constantly check the blood glucose levels and deliver insulin accordingly.

  1. Sleep apnoea is a condition which involves –

b: Pauses in breathing while sleeping – Sleep apnoea is a type of sleep disorder characterised by pauses in breathing or instances of shallow or infrequent breathing during sleep. Each pause in breathing called apnoea can last from 10 seconds to a minute and may occur five to 30 times and hour. This condition is seen in obese people, especially those with excess fat around their neck.

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