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Diabetes in Indian Country

Quiz for CE Credit

This quiz consists of multiple choice questions with one correct answer.
Please select one answer for each question, then click the Submit Answers button at the end of the quiz.

 
1. Trauma is defined as anything that overwhelms our ability to respond, especially if we perceive that our life or our connection to things that support us physically or emotionally is threatened and can cause lasting changes in the brain and body that increase risk for many problems.


 
2. When trauma occurs during development of brain and body systems, it can have lifelong impacts.


 
3. Toxic Stress occurs when a child experiences strong, frequent, and/or prolonged adversity such as-physical or emotional abuse, chronic neglect, caregiver substance abuse or mental illness, exposure to violence, and/or the accumulated burdens of family economic hardship-without adequate adult support.


 
4. Interventions for stress, trauma and inadequate nutrition include the following:





 
5. In the 1990s, the prevalence rate of diabetes and its complications in AI/AN people was higher than that of any other ethic group and was rising. However, according to the CDC, the prevalence rate for diabetes in AI/AN people is no longer increase, rather it has plateaued.


 
6. Data from AHRQ show that hospital admissions for uncontrolled diabetes in AI/An people decreased by 84% from 2000 to 2015.


 
7. According to the CDC, Kidney failure from diabetes among AI/AN adults decreased by 54% (1996-2013).


 
8. In 1997, diabetes was thought to be caused by genetics and lifestyle choices. However, there is increasing evidence that the proportion of predisposition explained for type 2 DM (5-10%) is fairly small.


 
9. One study of 18,000 adults showed a dose-response association between the number of risk factors experienced and the onset of diabetes in the next 3½ years. The risk factors associated with onset of diabetes include which of the following:









 
10. A retrospective data analysis of 54,000 AI/AN people with diabetes who participated in the JVN program between 2011 and 2016 showed that the prevalence of diabetic retinopathy and macular edema decreased by over 50% in comparison with studies done in the 1980s and 1990s.