Registered Nurse (RN) Endocrine Licensure Exam

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Which symptom is NOT typically associated with Type 2 diabetes?

A. Blurry vision

B. Ketones present in the urine

The presence of ketones in the urine is not typically associated with Type 2 diabetes. In individuals with Type 2 diabetes, the body usually produces some insulin, which helps to prevent the breakdown of fat as an energy source. Because of this insulin presence, the development of diabetic ketoacidosis (DKA) is rare in Type 2 diabetes, and as a result, ketones are less likely to be found in their urine compared to those with Type 1 diabetes. On the other hand, symptoms like blurry vision, poor wound healing, and glycosuria are commonly seen in Type 2 diabetes. Elevated blood glucose levels can lead to osmotic changes and impact vision, while high blood sugar also adversely affects blood flow and healing processes. Glycosuria occurs when blood glucose levels exceed the renal threshold, causing glucose to be excreted in the urine, which is frequently observed in individuals with poorly managed Type 2 diabetes.

C. Poor wound healing

D. Glycosuria

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