DM TYPE 1 & TYPE 2 Flashcards
A metabolic disease, involving inappropriately ELEVATED BLOOD GLUCOSE levels.
DIABETES MELLITUS
INSULIN DEPENDENT
Type 1
DIAGNOSTIC EXAM
- fasting blood sugar
- random casual blood sugar
“Fasting” NOT INGESTING ANY FOOD /no nutrient intake and Withhold Calories for 8 HOURS before obtaining blood samples or specimens.
FASTING BLOOD SUGAR
Normal Functional Glucose is
110 mg
Blood samokes or specimens qre obtained/ withdrawn ANYTIME of the Day, without regard to FASTING nad last meal intake
Random Casual Blood Sugar
Nursing Diagnosis for DM
- Unstabke blood glucose.
- Risk for infection
- Nutrition imbalance more than the body requirement
NURSING MANAGEMENT
- Treat or prevent UNDERLYING COEXISTING RISK FACTORS ( smoking, hypertension, hyperlipidemia, ans nephrotoxic drugs. )
TReatment for DM
Move insulin at bedtime
Increase bed time snacks
Decrease insukin dose at suppertime
Check SMBG levels
Absolute “lack” inadequate relatively insufficient amount of insulin leads to higher level or HYPERGLYCEMIA
Diabetic Keto Acidosis
Hypovolemic shock, severe dehydration, lactix acidosis, acute tubular necrosis, uremia, and death
PRognosis
Preceeding “ NOCTURNAL HYPOGLYCEMIA “ followed by REBOUND HYPERGLYCEMIA
SOMOGYI
Causative Factor of Somogyi
Excess Evening Insulin dosage and Fasting Morning HYPERGLYCEMIA
Risk/ Causative Factor for DM Type 1
- Young adult, male, inherited disorder, GENETIC PREDISPOSITION, Strong familial influences, first degree relatives
- Viruses/ Viral diseases, epidemics, environmental triggers , auto antibodies
Insulin is a hormone made by the pancreas that helps control blood sugar levels. Its main purpose is to allow sugar (glucose) from the food you eat to enter your cells for energy.
insulin
