Diabetes and older people: Community care – Module 1

According to the England-Wide Care Home Diabetes audit (Sinclair and Backhouse, 2014), approximately what percentage of people in nursing homes have diabetes?

Which of the following statements is not true?

Which of the following is not a typical symptom of type 1 diabetes?

Routine screening reveals a gentleman in your care home with an HbA1c level of 50 mmol/mol (6.7%). He has no symptoms of diabetes. What would you conclude from this and what should your next action be?

True or false? People with diabetes are not allowed to eat grapes, bananas or chocolate.

True or false? Fresh fruit juice will not increase blood glucose.

True or false? People with type 1 diabetes require insulin treatment every day.

True or false? People with diabetes who are treated with diet alone do not need their blood glucose measured every day.

Type 2 diabetes is treated with which of the following?

True or false? In frail older people, the aim of diabetes treatment is to achieve blood glucose levels of 4–7 mmol/l before meals and up to 11 mmol/l just after a meal.

Which of the following is not a typical risk factor or sign of type 2 diabetes?

True or false? New residents need to be screened for diabetes on arrival, whether symptomatic or not.