Diabetes Mellitus Flashcards

1
Q

What is the purpose of Glacagon?

A

RAISES blood glucose level

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2
Q

What is the purpose of Insulin?

A

LOWERS blood glucose levels

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3
Q

What is the major difference in Type 1 and Type 2 diabetes?

A

Type 1 has no insulin production and type 2 has some insulin production

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4
Q

Type 2 diabetes are associated with what 2 factors?

A

Obesity and high caloric intake

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5
Q

What is the most dangerous type of fat in our bodies?

A

Fat stored in the abdomen

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6
Q

What 4 things must be present for Metabolic Syndrome or Syndrome X?

A

Abdominal Obesity, Hyperglycemia, Hypertension, Dyslipemia

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7
Q

Name 4 signs and symptoms of Diabetes?

A

Tired all the time, always thirsty, need to urinate often, always hungry, sudden weight loss, blurred vision, wounds don’t heal, frequent vaginal infections,numb and/or tingling hands/feet

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8
Q

What are the normal ranges for blood sugars?

A

NBS:81-110, FBS: 70-110, HYPOGLY:110 and esp >150

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9
Q

Best test for long time blood sugar levels?

A

HbA1c: Normal- 4-6%, Needs treatment if >8%

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10
Q

Diagnostic urine test, tests for what 3 things?

A

Presence of ketones, renal function, glucose

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11
Q

Encourage what 2 things in pt teaching for diabetes?

A

Proper Diabetic diet and regular exercise

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12
Q

What is the onset and peak for rapid acting insulin? Given an example? Important consideration?

A

Onset- 30 min-1 hr, Peak- 2-3 hrs, Humalog and Novolog, Give IMMEDIATELY before meal as onset is very fast

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13
Q

What is the onset and peak for short acting insulin? Given an example? Important consideration?

A

Onset- 30 min-1 hr, Peak- 2-3 hrs, Regular Insulin, Humulin R, Regular insulin is only insulin given IV

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14
Q

What is the onset and peak for Intermediate acting insulin? Given an example?

A

Onset- 1-2 hrs, Peak- 6-12hrs, Humulin L

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15
Q

What is the onset and peak for long acting insulin? Given an example? Important consideration?

A

Onset- 4-6 hrs, Peak- 24 hrs/ no peak, Lantus, NO peak and can not be combined with other insulins

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16
Q

Important teaching for pt in hospital that is not diabetic but given insulin?

A

Teach that the insulin therapy is temporary

17
Q

Important “Sick-Day” rules?

A

Monitor BS every 2-4 hr, **-take insulin as usual, force fluids, Call MD if not able to keep anything down for 4 hrs

18
Q

Important teaching for Diabetic pts?

A

Inspect feet thoroughly daily