Endocrine - Pancreatic + Gonadal Flashcards
Disorders of Pancreatic Function
DM 1
»ketoacidosis
»hypo-glycemia
DM 2
DM1
autoimmune destruction of pancreatic cells
-inherit susceptibility to disease
DM1
manifestations
3P’s
poly - uria, dipsia, phagia
DM1
diagnosis
3P's + one of the following: >>HgbA1c>6.5% >>fasting bld sugar> 126 after 8hr >>2hr plasma glucose >200 during oral gluc tolerance test >>random plasma gluc >200
HgbA1c
> 6.5%
fasting blood sugar
> 126 after 8hr
2hr plasma glucose
200 during oral glucose tolerance test
random plasma glucose
> 200
DM1
treatment
- individualized insulin
- diet
- exercise regimens
1 unit of insulin =
15 g of carb
children w DM1 can help w care at what age
6-8 yo
to test blood glucose, keep records, etc
concerns w adolescents
can manage self-care, but desire to be like peers can interfere with treatment adherence
___ is eventual goal for kids + adolescence w DM1
self mgmt
___ made be delayed w inadequate DM1 control
puberty
concern w children
may use condition to get what they want