Exam 2 Endocrine and Metabolic Disorders

Question 1

DM in pregnancy

Answer 1

caused from a lack of insulin or lack of insulin effect

Question 2

Type I DM

Answer 2

absolute insulin insufficiency

Question 3

Type II DM

Answer 3

insulin resistance

Question 4

Gestation DM

Answer 4

any degree of glucose intolerance with onset or recognition during pregnancy

Question 5

Insulin production increased-> increased peripheral use of insulin-> results in decreased blood glucose (hypoglycemia)

Answer 5

effect of pregnancy on Insulin requirements in 1st trimester

Question 6

Insulin requirements increase as much as 4 times the usual amount; with expulsion of placenta-> abrupt drop of hormones and return to prepregnant state

Answer 6

Insulin requirements of 2nd and 3rd trimesters

Question 7

Fetal Glucose and Insulin

Answer 7

-Gets from mom at first
-Baby pancreases produces own insulin by 10 wks gestation

Question 8

Effects on baby

Answer 8

-LGA
-IGUR r/t maternal vascular involvement
-delayed lung maturity
-Hypoglycemia after birth

Question 9

Management of DM in Pregnancy

Answer 9

-Monitor glucose
-Exercise
-Diet
-Insulin therapy

Question 10

Risk Factor for Hypoglycemia

Answer 10

-too little food
-too large insulin dose
-stress
-illness/vomiting or diarrhea
-exercise

Question 11

Symptoms of Hypoglycemia

Answer 11

-Nervousness
-HA
-Shaking/irritable
-Hunger
-blurred vision
-diaphoresis