DMT1 Flashcards

1
Q

When is dm 1 diagnosed

A

At an early age

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2
Q

How much of the diabetes population does type 1 make up

A

A small percent

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3
Q

What are the risk factors for type 1 diabetes

A

Autoimmune
Viral
Environmental
Medically induced
Tpn
Certain drugs: phenytoin, longterm corticosteroids, &
Long term use of thyzide diuretics

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4
Q

What are the s/s for type 1DM

A

Polyuria
Polydipsia
Polyphagia
Weightloss
Fatigue
More infections

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5
Q

How fast is the onset for type 1

A

Rapid

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6
Q

What are type I diabetics dependent on?

A

Insulin dependent

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7
Q

Type 1 dm has a tendency to do what

A

Run in the family

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8
Q

When is the peak incidence

A

From 10 to 15 years

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9
Q

How can type I diabetics monitor their sugar?

A

By self-monitoring (fingerstick)
Continuous (tiny sensor under skin)

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10
Q

If a type 1 diabetic has a dexcom now often to they need to change the sensor

A

Every 10 days

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11
Q

What does an insulin pump provide

A

Continuous infusion of basal insulin

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12
Q

If pt has a pump what do they have to do at meal times

A

Bolus insulin at time of meal

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13
Q

What insulin should never be used in a pump

A

Long or intermediate acting insulin

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14
Q

What does pump therapy not do?

A

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

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15
Q

Who should get pump therapy

A

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

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16
Q

Pump candidates need to be motivated to

A

Be active participant in treatment
Quantify food intake
Monitor bs

17
Q

Pump candidates also need to have what

A

Adequate vision and fine motor skills
Strong support system
Insurance

18
Q

What are the benefits of pump therapy

A

Improved glycemic control
Better pharmacokinetic delivery of insulin
Increased lifestyle flexibility
Variable & individualized basal rates
Does Not eliminate self glucose monitoring

19
Q

What are the risks of insulin pump therapy

A

Hypoglycemia
Hyperglycemia
Infusion site problems
Takes time & commitment
Proper planning
Cost

20
Q

Which diagnostic tests can pumps not be worn going into

A

MRI
Ct

21
Q

What happens if an issue occurs w/ an insulin pump

A

Contact HCP who manages the pump
Back of pump has 800 # you can call