# Tests revealed _____, a metabolic disorder characterized by high blood glucose levels and insulin resistance.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=168472  
> language: ko  
> subject: Endocrine, nutritional and metabolic diseases

## 문제

Tests revealed _____, a metabolic disorder characterized by high blood glucose levels and insulin resistance.

## 보기

1. diabetes **✔ 정답**
2. thyroiditis
3. hyperlipidemia
4. osteoporosis
5. obesity

**정답: 1**

## 해설

Diabetes mellitus is a chronic metabolic disorder characterized by elevated blood glucose levels. Type 2 diabetes, the most common form, involves insulin resistance and relative insulin deficiency. Long-term complications can affect multiple organ systems, including cardiovascular, renal, neurological, and visual systems. Management includes lifestyle modifications, blood glucose monitoring, and often medication.

## 임상 시나리오

Diabetes:
- Types: Type 1 (autoimmune), Type 2 (insulin resistance), Gestational
- Symptoms: polydipsia, polyuria, polyphagia, weight loss
- Complications: retinopathy, nephropathy, neuropathy, cardiovascular disease
- Diagnostic tests: fasting blood glucose, HbA1c, oral glucose tolerance test
- Treatment options: insulin therapy, oral medications, diet control, exercise
- Risk factors: obesity, family history, sedentary lifestyle, age
- Prevention: healthy diet, regular exercise, weight management
- Monitoring: blood glucose levels, HbA1c every 3-6 months
- Associated conditions: hypertension, dyslipidemia
- Emergency complications: diabetic ketoacidosis, hyperosmolar hyperglycemic state

## 핵심 개념

- **diabetes** — A chronic metabolic disorder characterized by high blood glucose levels due to insufficient insulin production or insulin resistance, requiring lifelong management through medication, diet, and lifestyle changes
- **thyroiditis** — An inflammatory condition of the thyroid gland that can cause either hyperthyroidism or hypothyroidism, often resulting in symptoms like fatigue, weight changes, and neck pain
- **hyperlipidemia** — A condition characterized by abnormally high levels of lipids (fats) in the blood, including cholesterol and triglycerides, which increases risk of cardiovascular disease
- **osteoporosis** — A bone disease characterized by decreased bone density and increased risk of fractures, typically affecting older adults and postmenopausal women
- **obesity** — A medical condition characterized by excessive body fat accumulation that presents a risk to health, typically measured by a body mass index (BMI) of 30 or greater

## 같은 주제 문제

- [Labs indicate severe ______ with glucose 35 mg/dL and altered mental status.](https://mymerci.kr/pages/nclex_q.php?qn_id=168338)
- [Labs show elevated ______ hormone level of 15 ng/mL, suggesting primary hyperthyroidism.](https://mymerci.kr/pages/nclex_q.php?qn_id=168349)
- [Patient presents with diabetic ______ with severe metabolic acidosis.](https://mymerci.kr/pages/nclex_q.php?qn_id=168364)
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