Exercise, Complications and Issues Flashcards

1
Q

why is PA good treatment for diabetes

A

increases insulin sensitivity and insulin/non insulin dependent transport via higher expression of glut on cell surface

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2
Q

recommended exercise amount?

A

150 min mod/vig exercise per week

-spread over min 3 days a week, dont go more than 2 days without
-resistance 2x week

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3
Q

considerations needed for insulin dosages when working out?

A

risk of hypoglycemia
-reduce insulin intake
or
-add 10-15g CHO for every 0.5-1 hour workout

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4
Q

how much would u reduce insulin dosage for light, mod, rig activity?

A

10-20%
30-40%
50% or more
depends on individual tbh

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5
Q

explain the relationship between hyperglycemia and acute illness

A

hyperglycemia
=low immunity/wound healing and more oxi stress
= acute illness
=inflamm, stress hormones, less activity
=changes in insulin activity, less responsive
= more hyperglycemia

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6
Q

can you explain some important things to consider when treating a child with t1 or t2 diabetes?

A
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7
Q

what causes GDM?

A
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8
Q

how would low glycemic control affect the mother? fetus?

A
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9
Q

Things to consider when managinf GDM treatment

A
  1. very closely monitor
  2. Add PA and diet changes
  3. 2 weeks later if still not controlled = meds
  4. Want to monitor WEIGHT GAIN/ TRIMESTER not BMI
  5. check 6 weeks post partum to check if back to normal levels
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10
Q

how might management of treatment be different for someone who already had pre exsiting diabetes?

A

skip the PA and diet changes
directly add insulin or metformin (medical managament)

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11
Q

Some things to consider for elderly diabetic patients treatment plans?

A

individualized plans - make regimens that will reduce dosing errors, hypoglycemia and cognitive issues

want to prevent hypoglycemia as mch as possible bc causes lots of cognitive impairment
= higher glycemic targets used

more flexible, liberal diet

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12
Q

key parts of a hypoglycemia diet

A

individualized = trial and error
limit sugar and alcohols
eat more thru out day
increase fat and protein for slower stomach emptying and absorption rate

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