The Effects of Stress in Diabetes



1.  Stress affects blood sugar levels?
a.  By lowering blood sugar levels
b.  By raising blood sugar levels
c.  By raising blood pressure, but not blood sugar
d.  By lowering blood sugar, and lowering blood pressure
e.  It does not affect blood sugar levels


2.  All of the following are helpful ways to manage stress in the diabetes patient except one:
a.  Exercise
b.  Laughter
c.  Meditation
d.  Self-isolation
e.  Getting together with good friends


3Which of the following are vital nutrients when managing stress in the patient with diabetes?
a.  Potassium, folate, B vitamins

b.  Potassium, magnesium, iron
c.  Magnesium, vitamin C, B vitamins
d.  Vitamin C, vitamin D, potassium
e.  Vitamin D, potassium


4.  Which of the following are long-term effects of stress in diabetes?
a.  Thyroid disease
b.  Infertility
c.  Weight gain
d.  Heart disease
e.  A and C only


5.  Chronic stressors are defined as:
a.  Recurring negative situations
b.  Significant emotional stress
c.  Infections
d.  Serious illness
e.  All of the above


6.  Which of the following are ways to tame psychological stress?
a.  Keep a positive mental attitude

b.  Be kind to yourself
c.  Accept those things you cannot change
d.  Exercise regularly
e.  Take time to relax


7.  Which of the following is true?
a.  Low blood sugar can make you feel nervous

b.  High blood sugar can make you feel tired or down
c.  High blood sugar can lead to shakiness and eventually, unconscious
d.  Low blood sugar is helpful for concentration
e.  Low blood sugar decreases appetite, which can lead to weight loss in overweight people


8.  Stressful situations cause blood sugar levels to:
a.  Remain constant

b.  Go up
c.  Become more difficult to control
d.  Drop, then rise up (rebound)
e.  B, C and D only


9.  Stress can affect diabetes management in which of the following ways?
a.  It can cloud your judgment with regard to achieving your self-management goals
b.  It does not affect diabetes management in any way 

c.  It can cause your patient to make medication mistakes

d.  A and B only

e.  A and C only

10.  Physiologic effects of diabetes includes:
a.   Insulin resistance in type 2 diabetes
b.  Decreased insulin production by the pancreas after a few years
c.  The immune system destroying the insulin-production mechanism of the pancreas in type 1 diabetes
d.  Not enough insulin being produced by the expectant mother in gestational diabetes
e.  All of the above