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010-111 · Question #178

010-111 Question #178: Real Exam Question with Answer & Explanation

The correct answer is C. autonomic neuropathy. Autonomic neuropathy disrupts the hormonal counter-regulatory system that detects and corrects falling blood glucose, making exercise-induced hypoglycemia more dangerous and harder to recognize.

Question

When working with clients who have complications from type 2 diabetes mellitus, hypoglycemia during exercise becomes a greater concern with ______.

Options

  • Aperipheral neuropathy
  • Bretinopothy
  • Cautonomic neuropathy
  • Dnephropathy

Explanation

Autonomic neuropathy disrupts the hormonal counter-regulatory system that detects and corrects falling blood glucose, making exercise-induced hypoglycemia more dangerous and harder to recognize.

Common mistakes.

  • A. Peripheral neuropathy impairs sensory and motor function in the extremities but does not directly disrupt the autonomic hormonal pathways responsible for detecting and correcting hypoglycemia.
  • B. Retinopathy involves microvascular damage to the retina affecting vision and has no direct role in regulating blood glucose levels during exercise.
  • D. Nephropathy causes kidney damage that may affect long-term glucose excretion but does not impair the acute hormonal counter-regulatory response to exercise-induced hypoglycemia.

Concept tested. Autonomic neuropathy and hypoglycemia unawareness during exercise

Reference. https://diabetes.org/health-wellness/fitness

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