Diabetes Flashcards
what type of hypersensitivity is DM type 1
Type IV hypersensitivity
DKA and relationship to K
Blood K+ high
intracellular K+ low
Cells make insulin but body doesn’t respond to the insulin (insulin resistance)
DM type 2
fasting glucose level for
Prediabetes
Diabetes
100-125
>=126
Random glucose for Diabetes diagnosis
> =200
Oral glucose tolerance test (2hrs) diagnosis for
prediabetes
diabetes
140-199
>=200
HbA1C
prediabetes
diabetes
5.7-6.4
>=6.5
plasma glucose >600, ph >7.3, serum bicarb >15, small ketonuria, absent mild ketonemia, serum osmolality >320
HHS
glucose >200, ph <7.3, serum bicarb <15, ketonuria and ketonemia present
DKA
labs for DKA
K, Na, HCO3, Cl, Glucose BUN/Creatine B-hydroxybutyrate Venous Blood Gas Ca, Mg, Phos
new onset diabetes labs
Diabetes-associated antibodies (glutamic acid decarboxylase antibodies, insulin auto-antibodies, islet cell antibodies, and zine transporter 8 antibodies)
Hemoglobin A1C, insulin C-peptides
Celiac Panel
Thyroglobulin antibodies
(GAD-65
IA-2, IA-2B)
cardiac monitoring for DKA
T wave alterations due to hyper or hypokalemia
what blood glucose level do you add dextrose to IV fluids when treating DKA
200-250…adjust fluids to prevent rapid drop in glucose (>100mg/dl/hr)
In DKA insulin infusion is started at __u/kg/hr
0.1unit/kg/hr
When do you transition a DKA pt from your IV infusions to subq
pH is >7.3 and bicarb is >18 or kenonemia has resolved