ENDOCRINE: DIABETES TYPE 1

Question 1

Type 1 Diabetes

GLUCOSE NORMAL LEVELS

Answer 1

>70 and

Question 2

Type 1 Diabetes

HYPERGLYCEMIA

1. LEVEL
2. S/S: THREE P’S

HOT AND DRY SUGAR HIGH

Answer 2

1. > 200
2. POLYDIPSIA, POLYURINIA, POLYPHASIA

Question 3

Type 1 Diabetes

HYPOGLYCEMIA

DANGEROUS ADDRESS PROMPTLY

1. LEVEL
2. S/S: TIRED

COLD AND CLAMMY NEED SOME CANDY

Answer 3

T=TACHCARDIA

I=IRRITABILITY

R=RESTLESS

E=EXCESSIVE HUNGER

D=DIAPHORSIS

Question 4

Type 1 Diabetes

Dawn Phenomenon

1. Can be caused by ?
2. Tx?

Answer 4

reduced tissue sensitivity to insulin usually between 5-8 am

hyperglycemia occurs

1. Can be caused by nocturnal release of Growth Hormone
2. Adm evening does or increase current dose of immediate acting insulin at 2200

Question 5

Type 1 Diabetes

Somogyi Phenomenon

Answer 5

1. Normal or elevated BG at bed time
2. hypoglycemia occurs at 2-3 am which causes increase of counter regulatory hormone
3. at 0700 BG rebonds to cause hyperglycemia

TX: decrease evening or predinner doese of intermediate acting insulin or increase bedtime snack

Question 6

Type 1 Diabetes

Client with Type I diabetes takes NPH insulin

1. NPH what type of insulin?
2. Onset
3. Peak
4. Duration
5. Best time to exercise?

Answer 6

1. NPH is intermediate-acting insulin
2. 1.5 hrs
3. 4-12 hrs
4. 16-24 hrs

Question 7

Type 1 Diabetes

NPH

1. Generic Name?
2. Brand Name (3)

Answer 7

1. Isophane insulin NPH injection
2. Humulin N, Novolin N, ReliON N