710 Hypoglycemia - EADSG.e-diabete.org | East African Diabetes Study Group




 




  
    Prof. Kaushik Ramaiya | Tanzania
  


  
   
  













 

          
          
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HYPOGLYCAEMIA
            

            
            
                
            
        
                
            
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                            Question 1 of 15                        
                        
                            1. Question                        

                        
                                                
                            
                                Regarding hypoglycaemia (check if true)
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 Biochemical hypoglycaemia is blood glucose less than 3.9 mmol/l with or without symptoms                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Mild hypoglycaemia is manageable by the patient without assistance from others                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Symptoms of neuroglycopenia come before autonomic ones                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 The most common cause is missed or delayed meal                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 May occur during the night in up to 30% of type 1 diabetes                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Should be suspected if bedtime blood glucose is less than 6-7 mmol/l                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Treatment with IM or IV glucagon must be followed by oral glucose                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 2 of 15                        
                        
                            2. Question                        

                        
                                                
                            
                                The following are symptoms of hypoglycaemia:
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 nightmares                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 tiredness or weakness                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 nausea                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 headache                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 trembling                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 irritability                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 difficulty concentrating                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 blurred vision or double vision                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 3 of 15                        
                        
                            3. Question                        

                        
                                                
                            
                                The following are autonomic features of hypoglycaemia
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 Sweating                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Palpitations                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Tremor                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Hunger                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Anxiety                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 4 of 15                        
                        
                            4. Question                        

                        
                                                
                            
                                The following are neuroglycopenic features of hypoglycaemia
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 Confusion                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Drowsiness                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Odd behaviour                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Speech difficulty                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Incoordination                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Loss of concentration                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 5 of 15                        
                        
                            5. Question                        

                        
                                                
                            
                                Hypoglycaemia unawareness (impaired perception of, or reaction to the early warning symptoms of hypoglycaemia) making the patient more vulnerable to developing severe hypoglycaemia may result from:
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 Long term diabetes                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Too strict glycaemic control                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 6 of 15                        
                        
                            6. Question                        

                        
                                                
                            
                                Hypoglycamia is not directly caused by diabetes but its treatment
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 TRUE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 FALSE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 DON'T KNOW                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 7 of 15                        
                        
                            7. Question                        

                        
                                                
                            
                                Hypoglycaemic symptoms may occur in people with blood glucose higher than 3.9mmol/l
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 TRUE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 FALSE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 DON'T KNOW                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 8 of 15                        
                        
                            8. Question                        

                        
                                                
                            
                                In treated type 1 DM (check if true)
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 mild episodes of hypoglycaemia occur at least once in every 8 days                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 severe episodes of hypoglycaemia occur at least once in every 10 months                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 63% of all episodes of hypoglycaemia are unrecognized                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 9 of 15                        
                        
                            9. Question                        

                        
                                                
                            
                                 In treated type 2 DM (check if true)
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 mild episodes of hypoglycaemia occur at least once in every 3 weeks                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 severe episodes of hypoglycaemia occur at least once in every 3 years                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 47% of all episodes of hypoglycaemia are unrecognized                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 10 of 15                        
                        
                            10. Question                        

                        
                                                
                            
                                Nocturnal hypoglycaemia  (check if true):
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 occurs in 50% of T1DM                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 occurs in 33% of T2DM                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 leads to disruption of sleep, chronic fatigue, morning headache, night-time convulsions, nightmares.                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 leads to poor attendance/ performance in schools                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 11 of 15                        
                        
                            11. Question                        

                        
                                                
                            
                                In both mild and moderate hypoglycaemia, patients are able to recognize the symptoms
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 TRUE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 FALSE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 DON'T KNOW                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 12 of 15                        
                        
                            12. Question                        

                        
                                                
                            
                                In severe hypoglycaemia, patients have altered consciousness
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 TRUE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 FALSE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 DON'T KNOW                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 13 of 15                        
                        
                            13. Question                        

                        
                                                
                            
                                Common causes of hypoglycaemia include (check if true)
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 Unplanned physical activity                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Food- insulin mismatch in children less than 3 years                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Active kids 6-8 years skipping the snacks                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Skipping snacks                                             

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Adolescent girls aiming to keeping the figure “8”                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 14 of 15                        
                        
                            14. Question                        

                        
                                                
                            
                                Outside health facilities, severe hypoglycaemia (check if true)
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 May be treated using glucose gel, honey or sugar syrup between teeth and buccal mucosa                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 May be treated by sprinkling sugar over the tongue                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 15 of 15                        
                        
                            15. Question                        

                        
                                                
                            
                                In the treatment of hypoglycaemia, the rule of 15 refers to:
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 Consume 15 grams of glucose or a quick acting carbohydrate                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Recheck glucose after 15 minutes to determine need to retreat                                             

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 If continued hypoglycemia after 15 minutes; repeat treatment                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                            
                    
                
                
        
                    

            
  


          

                  
                            
                    
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HYPOGLYCAEMIA
            

            
            
                
            
        
                
            
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                            Question 1 of 15                        
                        
                            1. Question                        

                        
                                                
                            
                                The following are symptoms of hypoglycaemia:
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 nightmares                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 tiredness or weakness                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 nausea                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 headache                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 trembling                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 irritability                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 difficulty concentrating                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 blurred vision or double vision                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 2 of 15                        
                        
                            2. Question                        

                        
                                                
                            
                                Regarding hypoglycaemia (check if true)
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 Biochemical hypoglycaemia is blood glucose less than 3.9 mmol/l with or without symptoms                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Mild hypoglycaemia is manageable by the patient without assistance from others                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Symptoms of neuroglycopenia come before autonomic ones                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 The most common cause is missed or delayed meal                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 May occur during the night in up to 30% of type 1 diabetes                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Should be suspected if bedtime blood glucose is less than 6-7 mmol/l                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Treatment with IM or IV glucagon must be followed by oral glucose                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 3 of 15                        
                        
                            3. Question                        

                        
                                                
                            
                                The following are autonomic features of hypoglycaemia
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 Sweating                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Palpitations                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Tremor                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Hunger                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Anxiety                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 4 of 15                        
                        
                            4. Question                        

                        
                                                
                            
                                The following are neuroglycopenic features of hypoglycaemia
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 Confusion                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Drowsiness                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Odd behaviour                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Speech difficulty                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Incoordination                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Loss of concentration                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 5 of 15                        
                        
                            5. Question                        

                        
                                                
                            
                                Hypoglycaemia unawareness (impaired perception of, or reaction to the early warning symptoms of hypoglycaemia) making the patient more vulnerable to developing severe hypoglycaemia may result from:
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 Long term diabetes                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Too strict glycaemic control                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 6 of 15                        
                        
                            6. Question                        

                        
                                                
                            
                                Hypoglycamia is not directly caused by diabetes but its treatment
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 TRUE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 FALSE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 DON'T KNOW                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 7 of 15                        
                        
                            7. Question                        

                        
                                                
                            
                                Hypoglycaemic symptoms may occur in people with blood glucose higher than 3.9mmol/l
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 TRUE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 FALSE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 DON'T KNOW                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 8 of 15                        
                        
                            8. Question                        

                        
                                                
                            
                                In treated type 1 DM (check if true)
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 mild episodes of hypoglycaemia occur at least once in every 8 days                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 severe episodes of hypoglycaemia occur at least once in every 10 months                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 63% of all episodes of hypoglycaemia are unrecognized                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 9 of 15                        
                        
                            9. Question                        

                        
                                                
                            
                                 In treated type 2 DM (check if true)
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 mild episodes of hypoglycaemia occur at least once in every 3 weeks                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 severe episodes of hypoglycaemia occur at least once in every 3 years                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 47% of all episodes of hypoglycaemia are unrecognized                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 10 of 15                        
                        
                            10. Question                        

                        
                                                
                            
                                Nocturnal hypoglycaemia  (check if true):
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 occurs in 50% of T1DM                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 occurs in 33% of T2DM                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 leads to disruption of sleep, chronic fatigue, morning headache, night-time convulsions, nightmares.                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 leads to poor attendance/ performance in schools                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 11 of 15                        
                        
                            11. Question                        

                        
                                                
                            
                                In both mild and moderate hypoglycaemia, patients are able to recognize the symptoms
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 TRUE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 FALSE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 DON'T KNOW                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 12 of 15                        
                        
                            12. Question                        

                        
                                                
                            
                                In severe hypoglycaemia, patients have altered consciousness
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 TRUE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 FALSE                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 DON'T KNOW                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 13 of 15                        
                        
                            13. Question                        

                        
                                                
                            
                                Common causes of hypoglycaemia include (check if true)
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 Unplanned physical activity                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Food- insulin mismatch in children less than 3 years                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Active kids 6-8 years skipping the snacks                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Skipping snacks                                             

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Adolescent girls aiming to keeping the figure “8”                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 14 of 15                        
                        
                            14. Question                        

                        
                                                
                            
                                Outside health facilities, severe hypoglycaemia (check if true)
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 May be treated using glucose gel, honey or sugar syrup between teeth and buccal mucosa                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 May be treated by sprinkling sugar over the tongue                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                                    
                        
                            Question 15 of 15                        
                        
                            15. Question                        

                        
                                                
                            
                                In the treatment of hypoglycaemia, the rule of 15 refers to:
                            
                                                        
                                
                                    

                                                                                                                                
                                            
                                                 Consume 15 grams of glucose or a quick acting carbohydrate                                            

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 Recheck glucose after 15 minutes to determine need to retreat                                             

                                                                            
                                    
                                    

                                                                                                                                
                                            
                                                 If continued hypoglycemia after 15 minutes; repeat treatment                                            

                                                                            
                                                                
                        
                                                    
                                
                                                                            
									Correct								

                                    
                                
                                
                                                                            
									Incorrect								

                                    
                                
                            
                        
                        
                                                
                                                
                        

                        

                        
                    

                            
                    
                
                
        
                  

          






          
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                  Prof. Kaushik Ramaiya
                
            
                Prof. Kaushik Ramaiya
                
                      Prof. Kaushik Ramaiya, MB,ChB, MMed. is Consultant Physician (Internal Medicine / Endocrinology) and Chief Executive Officer at Shree Hindu Mandal Hospital, Dar es Salaam, Tanzania, Hon. Professor of Medicine & Global Health at Liverpool School of Tropical Medicine, UK., and Hon. Lecturer at the Department of Internal Medicine at Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam.  
Prof. Ramaiya has been actively involved in research on diabetes for many years. He specialised, among other topics, on glucose tolerance and cardiovascular disease risk factors and mainly focused on Indian communities living in Africa.
                
                
                      Lecture(s):706 ORAL HYPOGLYCAEMIC AGENTS
708 Management of Uncontrolled Diabetes (Combination Therapy)
710 Hypoglycemia
710 The Unconscious Patient Assessment and Management
711 DIABETIC NEUROPATHY
715 Diabettes Mellitius and infections
716 DIABETES & FASTING FOR RELIGIOUS PURPOSES
716 DIABETES AND SURGERY
704 Targets of Control: GENERAL ASPECTS OF MANAGEMENT OF TYPE 2 DIABETES
710 ACUTE COMPLICATIONS DIABETIC KETOACIDOSIS
717 Diabetes in Children and Adolescents
711 Diabetes Eye Disease