Question

In someone with diabetes mellitus being treated by injected insulin

A. Omission of an insulin injection causes a rise in the blood glucose level.

B. Regular daily exercise increases insulin requirements.

C. Unaccustomed exercise leads to a low blood glucose level.

D. Carbohydrate intake should be decreased if daily exercise is increased.

E. Tremor may occur if the blood glucose level falls.

Answer 1

A. True There is impaired uptake and storage of glucose in muscle fibres.

B. False Exercise facilitates uptake of glucose in muscles and less insulin is needed.

C. True The normal insulin dosage is now excessive.

D. False Exercise increases carbohydrate requirements.

E. True Tremor is part of the sympathetic response to the hypoglycaemia; included in this response is a tendency to oppose the fall in blood glucose by mobilizing glucose from hepatic glycogen.