Diabetes LP 1 Flashcards

1
Q

what type of diabetes is “honey tasting”?

A

diabetes mellitus

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2
Q

what is the definition of diabetes mellitus?

A

disorder of carbohydrates, proteins and fat metabolism resulting in an imbalance between insulin available and needed

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3
Q

what are some late complications of diabetes?

A

renal failure, blindness, amputations, sometimes death in more severe cases

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4
Q

what hormone is produced by the pancreas?

A

insulin

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5
Q

where is glucose stored too?

A

pancreas and stored as glycogen

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6
Q

what can cause diabetes mellitus?

A
  • insulin deficiency / impaired production
  • defective insulin receptors
  • genetic predisposition
  • environmental factors
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7
Q

which type of diabetes is known as ‘juvenile diabetes’?

A

type 1

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8
Q

which type of diabetes is insulin dependent?

A

type 1

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9
Q

what type of diabetes is it common to have ketosis?
what effected does ketosis have?

A

type 1
breath can smell like acetone or alcohol

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10
Q

what are common symptoms of type 1 diabetes?

A

polyuria
polydipsia
polyphasic
glycosuria / ketonuria
difficultly stabilizing
sweet breath
weight loss

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11
Q

what is another name for type 2 diabetes?

A

maturity onset diabetes

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12
Q

why don’t type 2 diabetes develop ketosis?

A

they produce enough insulin to prevent the abnormal breakdown fat to prevent ketosis to develop

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13
Q

what is a factor that causes an individual to be at high risk of type 2 diabetes?

A

upper body obesity

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14
Q

how would you treat diabetes type 2?

A

diet and exercise
20-30% require insulin

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15
Q

what are some symptoms of type 2 diabetes?

A

infections
slow wound healing
numbness and tingling
blurred vision
fairly easy to stablize and control

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16
Q

what type would you avoid diaphramaic breathing?

A

type 1

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17
Q

what is secondary diabetes?

A

diabetes resulting in underlying pathologies
(drug induced, hormonal, pancreatic disease, etc)

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18
Q

what does insulin do for the body?

A

aids in the uptake and storage of glucose in the liver, skeletal muscle and fat cells.
(works as the gate to storage in the body cells)

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19
Q

what happens when you lack insulin?

A

accumulation of glucose in the blood causing blood sugar levels to elevate.

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20
Q

how does ketosis develop?

A

insulin inhibits the breakdown of fat. when absence, fatty acids are released from fat cells which then releases ketones.

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21
Q

what does increased blood glucose lead too?

A

hyperglycaemia

22
Q

what is glucosuira?

A

high amounts of glucose in urine

23
Q

what is polyuria?

A

excessive urination

24
Q

what is polydipsia?

A

excessive loss of fluids leading to increased thirst

25
Q

what effects would improper fat metabolism have on the body?

A

ketosis / ketonemia
ketones in urine
weight loss
protein used as fuel source / energy
muscle wasting
increased appetite

26
Q

what is peripheral neuropathies?

A

parasthesia in the legs and feet, muscle weakness, foot drop, carpal tunnel syndrome or any other compression syndromes

27
Q

what is vasomotor reflex defects?

A

leas to dizziness and syncope (fainting) when moving from supine to standing

28
Q

describe what impaired innervation to the bladder can lead to

A

lead to urinary stasis and the development of bladder infections and renal complications

29
Q

describe nephropathies

A

an increase susceptibility to pylonephritis and papillary or glomerulo sclerosis

30
Q

describe retinopathies

A

increased vision problems (blindness is common with diabetes)

31
Q

what kind of contracture is common with diabetes later on?

A

dupuytrens contacture

32
Q

how do you care for diabetic foot ulcers?

A

keep it warm, dry, and clean

33
Q

what areas are commonly damage for ulceration?

A

back of heal, great toe, and plantar metatarsal

34
Q

what should you look for when check diabetic feet?

A

blisters, open sores, or infections

35
Q

what is reflex sympathetic dystrophy?

A

pain, hyperaesthesia, tenderness, etc

36
Q

what is gestational diabetes?

A

glucose intolerance during pregnancy

37
Q

how long after delivery can new mothers develop diabetes?

A

5-10 years

38
Q

what are some questions you can ask a diabetic client?

A

what symptoms have you been experiencing (three polys)?
where are their injection sites?
when did they last take their insulin?
is there any signs of foot ulcerations?

39
Q

what kind of test can we offer diabetic clients?

A

muscle strength testing or nerve damage or compression testing

40
Q

when should diabetics book massage appointments?

A

right after insulin injections to prevent destabilizing

41
Q

what is a diabetic coma?

A

too much glucose relative to insulin.
slow process and easier to catch

42
Q

what is a diabetic shock?

A

too much insulin relative to glucose.
much faster process and harder to catch

43
Q

what are the signs and symptoms of diabetic shock / coma?

A

slurred speech
delusional
cold sweats
going towards unconsciousness

44
Q

should you give someone sugar or insulin when experiencing coma / shock symptoms?

A

sugar never insulin

45
Q

what kind of pressure should you treat diabetic client with?

A

light pressure due to fragile skin

46
Q

what natural remedy should be avoided with diabetics?

A

euclypits

47
Q

what herb lowers blood sugar levels?

A

euceucalyputs

48
Q

what is diabetes insidious?

A

bland tasting
vasopressin hormone availability or function
rare

49
Q

what is neurogenic diabetes insipidus?

A

deficiency in the synthesis or release of ADH from pituitary gland

50
Q

What are the CIS for diabetics?

A

No deep
No treating injection sites
Modify hydro