DMT1 Flashcards
When is dm 1 diagnosed
At an early age
How much of the diabetes population does type 1 make up
A small percent
What are the risk factors for type 1 diabetes
Autoimmune
Viral
Environmental
Medically induced
Tpn
Certain drugs: phenytoin, longterm corticosteroids, &
Long term use of thyzide diuretics
What are the s/s for type 1DM
Polyuria
Polydipsia
Polyphagia
Weightloss
Fatigue
More infections
How fast is the onset for type 1
Rapid
What are type I diabetics dependent on?
Insulin dependent
Type 1 dm has a tendency to do what
Run in the family
When is the peak incidence
From 10 to 15 years
How can type I diabetics monitor their sugar?
By self-monitoring (fingerstick)
Continuous (tiny sensor under skin)
If a type 1 diabetic has a dexcom now often to they need to change the sensor
Every 10 days
What does an insulin pump provide
Continuous infusion of basal insulin
If pt has a pump what do they have to do at meal times
Bolus insulin at time of meal
What insulin should never be used in a pump
Long or intermediate acting insulin
What does pump therapy not do?
Does not regulate bs automatically
Does not decrease need to check sugar
Does not replace function of pancreas
Not easy or inexpensive
Not complication free
Who should get pump therapy
Those w/an A1C greater than 6.5%
Those w/ frequent hypoglycemia
Those in shift work
Those w/ type 2 diabetes and Gastroparesis
Pediatrics
Exercise
Hectic lifestyle
Pump candidates need to be motivated to
Be active participant in treatment
Quantify food intake
Monitor bs
Pump candidates also need to have what
Adequate vision and fine motor skills
Strong support system
Insurance
What are the benefits of pump therapy
Improved glycemic control
Better pharmacokinetic delivery of insulin
Increased lifestyle flexibility
Variable & individualized basal rates
Does Not eliminate self glucose monitoring
What are the risks of insulin pump therapy
Hypoglycemia
Hyperglycemia
Infusion site problems
Takes time & commitment
Proper planning
Cost
Which diagnostic tests can pumps not be worn going into
MRI
Ct
What happens if an issue occurs w/ an insulin pump
Contact HCP who manages the pump
Back of pump has 800 # you can call
