Diabetes Mellitus Flashcards
What country has the largest diabetes population?
U.S.
What top three ethnicities are the most susceptible (in order)
American Indian/Alaskan, Black, Hispanic
Insulin
A hormone produced by the pancreas into the bloodstream in response to high blood sugars from what you eat. Helps sugar enter cells to be used for energy.
Type 1 Diabetes Mellitus
AKA Juvenile diabetes or IDDM. Pancreas can’t produce insulin and probably never could. Diagnosed early in life, usu by age 16. Autoimmune, genetic, or idiopathic. Not preventable. Needs synthetic insulin injections.
Type 2 Diabetes Mellitus
AKA adult onset or NIDDM. Most common. d/t diet. Pancreas can and did produce insulin at one time but now doesn’t produce enough or any at all. Body cells also become immune to insulin which causes it to not take up enough sugar. Pancreas wears out but can be usable again w/ diet change.
Why is type 2 Diabetes called NIDDM?
Because though the pt still needs to take synthetic insulin, the pancreas still somewhat works as it is only temporarily worn out.
Gestational diabetes
Develops during pregnancy in people who don’t normally have diabetes. Can cause miscarriage. Goes away after birth. 50% of women who have this develop diabetes later after birth. Tested for in all pregnant women.
How to test for gestational diabetes?
Drink very sugary drink to test how body reacts to high blood sugar levels.
Prediabetes
Blood glucose is higher than normal but not high enough to be diagnosed with diabetes. Caused by diet. Precursor to type 2. In the younger age group. Every 1 in 5 has this. Can be stopped with diet change.
How does diabetes Mellitus affect the cardiovascular system?
It causes capillary damage and plaques vessels near the legs and feet. Can cause gangrene.
How does diabetes Mellitus affect the nervous system?
It causes diabetic neuropathy, which is damage to the nerves specifically in the legs and FEET. Loss of feeling in feet is common. If you step on something sharp and you leave if there because you don’t notice, it gets infected and you can die from sepsis
How does diabetes Mellitus affect the special senses/eyes?
Causes diabetic retinopathy, which can lead to blindness.
How does diabetes Mellitus affect the urinary system?
Can cause chronic renal failure due to damage to the nephron. AKA diabetic nephropathy. #1 cause of renal failure in the US is diabetes Mellitus.
How does diabetes Mellitus affect the immune system?
Healing time is doubled at the least. Dangerous esp in elderly as it can cause them to be nonmobile for long periods of time, making them susceptible to dying of a blood clot. Transplants (heart transplants) are often refused to be done because of the long healing time.
Symptoms of diabetes Mellitus? (6)
Polydipsia, weight loss, blurry vision, frequent infections, and increase in hunger.