Diabetes Flashcards

1
Q

Signs and Symptoms of Hyoiglycemia

A

• BG

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2
Q

Signs and Symptoms of Hyperglycemia

A

• BG > 7.0 mmol/L (VIHA is 3.9-11)
• Polyuria – excessive urination (trying to compensat)
• Polyphagia – increased hunger
• Polydipsia – increased thirst
• Glucosuria – high levels of glucose in the urine
• Weight loss • Fatigue

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3
Q

What are the three glucose measuring levels

A

Fasting, Random, 2hr (GTT) [glucose tolerance test]

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4
Q

Diagnosis of Diabetes

A

Presentation + diagnostic test

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5
Q

Clinical presentation Acute Type 1 Diabetes

A

Diabetic Ketoacidosis

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6
Q

Major Lab tests for diagnosing disease?

A

Glucose, HgA1c

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7
Q

What is Glycosylation?

A

Glucose attaching to Hemoglobin creating Hg A1C

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8
Q

Advantage of using HgA1c

A

Can be taken anytime, long term measure

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9
Q

Other measures important to diabetes?

A

????????????

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10
Q

Diagnosing Diabetes:
No symptoms?
With Symptoms?

A

x2 diagnostic a week apart

x1 HgA1c postitive diagnostic

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11
Q

Sulfanaloriase

Metformin

A

What are they?

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12
Q

Common errors with self monitoring BG?

A
  • Blood amount too small
  • Improper maintenance of machine
  • Damaged monitor strips
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13
Q

Ability to self Monitor dependent on?

A

skill level, cognitive ability, visual acuity, technology, comfort, cost

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14
Q

What is Fasting BG?

A

Measure amount of glucose in blood at time of sample collection.

Diabetic will have a higher BG during Fasting

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15
Q

Glucose Tolerance Test

A

done after FBG – the patient drinks a standard solution of glucose to challenge his/her system – followed by a second BG test at specific intervals to track ‘glucose challenge’

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16
Q

Targets levels for Diabetic Patient?

A

A1C: ≤7.0% (or Normal person ≤6.0%)
BP: ≤130/80 mm Hg
Cholesterol: LDL-C

17
Q

Why might Ketones be found in Urine of a Diabetic Patient?

A

No effective insulin available
Body breaks down stored fat for energy Ketones are by products of fat metabolism Accumulate in blood and urine
Puts patient at risk for DKA
Diabetic Ketoacidosis

18
Q

To reach targets what cocktail of drug might a diabetic have to take?

A
  • To lower blood glucose: 1-3 pills and/or insulin
  • To lower cholesterol: 1 or 2 pills
  • To lower blood pressure: 2 or 3 pills
  • For general vascular protection: aspirin