Diabetes Flashcards
Give 8 risk factors of diabetes
Family history of diabetes
Obesity
Race/ethnicity
Age
Previously identified impaired fasting glucose or impaired glucose tolerance
Hypertension
HDL cholesterol level _35 mg/dL (0.90 mmol/L) and/or triglyceride level _250 mg/dL (2.8 mmol/L)
History of gestational diabetes or delivery of babies over 9 lb
Obesity (ie, ___ over desired body weight or BMI___ kg/m2)
20% over desired body weight
BMI_27 kg/m2
Race/ethnicity
African Americans
Hispanic Americans
Native Americans
Asian Americans
Pacific Islanders
Specific Age
45 y
Hypertension
(_140/90 mm Hg)
HDL cholesterol level __ mg/dL (0.90 mmol/L) and/or triglyceride level __ mg/dL (2.8 mmol/L)
35 mg/dl
250 mg/dl
History of gestational diabetes or delivery of babies over __
9 lb
Insulin is a hormone secreted by
beta cells.
Insulin is ____ or ___ hormone.
an anabolic, or storage,
Insulin transports and metabolizes ___ for energy
glucose
Insulin stimulates storage of glucose in the ___ and ___ (in the form of ___)
liver and muscle
glycogen
insulin signals the ___ to stop the release of glucose
liver
insulin Enhances storage of dietary fat in ___
adipose tissue
Insulin Accelerates transport of ___ (derived from dietary protein) into cells
amino acids
Inhibits the breakdown of stored __, __, __
glucose, protein, and fat
Initially, the liver produces glucose through the breakdown of glycogen (__).
glycogenolysis
After 8 to 12 hours without food, the liver forms glucose from the breakdown of noncarbohydrate substances, including amino acids (___).
gluconeogenesis
Characterized by the destruction of the pancreatic beta cells.
Type 1 Diabetes
Combined __, __, __ are thought to contribute to beta-cell destruction.
genetic, immunologic, and possibly environmental factors
Destruction of the beta cells results in __, __, __
decreased insulin production, increased glucose production by the liver, and fasting hyperglycemia.
Glucose from food cannot be stored in the liver but instead remains in the bloodstream and contributes to ___
postprandial (after meals) hyperglycemia.
If the concentration of glucose in the blood exceeds __ to __ , glucose appears in the urine (___).
180 to 200mg/dL
glycosuria
When excess glucose is excreted in the urine, it is accompanied by excessive loss of fluids and electrolytes (___)).
osmotic diuresis
Insulin normally inhibits glycogenolysis and gluconeogenesis, causing the opposite in type __ diabetes.
1