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    ATI NS113 Paediatrics Proctored Exam
    Select All That Apply

    Identify the differences between type 1 and type 2 diabetes in pediatric patients.

    Explanation & Rationale

    Choice A rationaleType 2 diabetes in pediatric patients can sometimes be managed effectively through lifestyle modifications alone, particularly in the early stages. These changes include dietary adjustments to reduce sugar and processed foods, increased physical activity to improve insulin sensitivity, and weight management.Choice B rationaleInsulin resistance is a key pathophysiological feature of type 2 diabetes. In this condition, the body's cells do not respond effectively to insulin, leading to elevated blood glucose levels as glucose cannot enter the cells for energy. The pancreas initially produces more insulin to compensate, but eventually, it may not be able to keep up.Choice C rationaleType 1 diabetes is more commonly diagnosed in younger children and adolescents, often presenting with acute symptoms. It results from the autoimmune destruction of insulin-producing beta cells in the pancreas, leading to an absolute deficiency of insulin.Choice D rationaleType 1 diabetes is an autoimmune disease where the body's immune system mistakenly attacks and destroys the pancreatic beta cells that produce insulin. This autoimmune process is often triggered by genetic predisposition and environmental factors but is not directly caused by lifestyle.Choice E rationaleObesity is a significant risk factor for the development of type 2 diabetes due to its association with increased insulin resistance. While individuals with type 1 diabetes can also be obese, obesity is not the primary cause of type 1 diabetes.Choice F rationaleType 1 diabetes cannot be cured with lifestyle changes alone because it involves the permanent destruction of insulin-producing cells. Individuals with type 1 diabetes require lifelong insulin therapy to survive.Choice G rationaleType 1 diabetes cannot be prevented with healthy eating or other lifestyle modifications because it is an autoimmune condition. The onset is not directly linked to dietary habits or physical activity levels.Choice H rationaleType 2 diabetes is less common in infants and toddlers and is more frequently diagnosed in older children, adolescents, and adults, often associated with factors like obesity, family history, and sedentary lifestyle.

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