IRAT 2 Flashcards

1
Q

3 main types of diabetes

A

Type 1
Type 2
Gestational

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2
Q

Several thousand years ago, doctors noticed that some people had to urinate frequently

A

History of diabetes

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3
Q

What we may call pee the Greeks called

A

Diabetes

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4
Q

The ancient doctors tasted the urine of the diabetics and found that it tasted

A

As sweet as honey

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5
Q

Honey sweet greek word

A

Mellitus

Diabetes mellitus

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6
Q

Type 2 diabetes was previously called

A

Non-insulin dependent diabetes

Adult-onset diabetes

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7
Q

Type 2 diabetes accounts for ___ of all cases of diabetes

A

90%

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8
Q

Type 2 age

A

Any age

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9
Q

Type 2 may remain undetected for

A

Years

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10
Q

How many americans have diabetes

A

30.3 million

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11
Q

American diagnosed diabetes

A

23.1 million

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12
Q

Undiagnosed american diabetes

A

7.2 million

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13
Q

Prediabetes

A

86 million

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14
Q

New cases in 2015

A

1.5 million

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15
Q

Men

A

11.8% of men 20 and older have diabetes

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16
Q

Women

A

10.8% of women 20 and older have diabetes

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17
Q

Adults having diabetes have heard disease death rates of

A

About 2-4 times higher than adults without diabetes

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18
Q

__ of diabetics have hypertension

A

67%

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19
Q

Diabetes is a leading cause of blindness in adults

A

20-74 years of age

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20
Q

Leading cause of kidney failure

A

Diabetes

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21
Q

In 2014, ___ US citizens developed end-stage renal disease with diabetes as the primary cause

A

51, 159

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22
Q
Type 2 diabetes
Blacks
Hispanics
Asians
Whites
A
  1. 2%
  2. 8%
  3. 0%
  4. 6%
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23
Q

Age 20-44

A

4.3 million

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24
Q

Age 45-64

A

13.4 million

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25
Age 65+
11.2 million
26
Men
15.5 million
27
Women
13.4 million
28
Total cost in 2012 of diabetes
245 billion
29
Direct medical costs diabetes
176 billion
30
Reduced productivity
69 billion
31
___ leading cause of death in the US
7th
32
No symptom stands alone for being diabetes All symptoms seen with diabetes can be caused by
Other conditions
33
10 most common symptoms of diabets
``` Frequent urination Excessive thirst Unexplained weight loss Extreme hunger Sudden vision changes Tingling and numbness in hands or feet Feeling tired most of the time Very dry skin Sores that are slow to heal More infections that usual ```
34
Most common symptom of diabetes
Polyuria
35
The nephrons in the kidney filter the plasma Useful small molecules such as glucose and AA end up in the urine
Polyuria
36
In diabetics urine, the filtered load of glucose is
Not resorbed
37
Glucose draws water
Into the urine through osmosis
38
One of the earliest symptoms and often accompanied by dry mouth or cotton mouth
Polydipsia
39
Polydipsis usually occurs together with
Polyuria
40
Glucose draws water into the blood The kidneys attempt to remove the excess glucose by producing more urine Causes dehydration in the cells
Polydipsia
41
Normally body weight can flutuate up to ____ without a change in eating habits
Up to 5 lbs or 5% body weight
42
Early diabetes may present as feeling
Unusually hungry but patient experiences weight loss
43
Normal nocturnal urination
2-3 times a night
44
Normal defecation
1-3 times a day
45
Weight loss
Not using enough glucose for energy so body is breaking down stored fat and muscle tissue for energy
46
#1 cause of blindness in the UA
Macular degenration
47
#2 cause of blindness in US
Glaucoma
48
Diabetic eye diseases include
Diabetic retinopathy, cataract and glaucoma
49
Most common diabetic eye disease
Diabetic retinopathy
50
Diabetic retinopathy
Usually bilateral A Leading cause of blindness of american adults
51
2 types of diabetic retinopathy
Nonproliferative | Proliferative
52
Nonproliferative retinopathy
Most common form Capillaries balloon 3 stages mild moderate and severe
53
Capillary walls may lose ability to control the passage of materials between the blood and the retina Fluid leaks into macula Vision blurs and can be lost entirely Usually does not require treamtent
Nonproliferative retinopathy
54
Proliferative retinopathy
May progress over years Fraglile new blood vessels grow in retina and vitreous humor
55
New blood vessels start growing in the retina New blood vessels leak blood which blocks vision New vessels may cause scar tissue, shrink and detach the retina
Proliferative retinopathy
56
Treatment for retinopathy
Scatter photocoagulation Focal photocoagulation Virectomy
57
Ophthalmologist makes hundreds of tiny laser burns on teh retina This seals blood vessels Only works before bleeding and/or detachment has progressed very far
Scatter photocoagulation
58
Laser is aimed specifically at leaking vessel
Focal photocoagulation
59
Used when retina has detached Removes scar tissue and cloudy fluid Re-attaching retina is successful in only 50% of cases
Virectomy
60
Supplements for diabetes
``` Magnesium Vanadium Biotin Vitamin D3 Chromium ```
61
Essential for balancing glucose and maintatining the beta cells in the pancreas
Magnesium
62
Metabolizes glucose
Vanadium
63
Prevents insulin resistance
Biotin
64
Assists in insulin resistance
Vitamin D3
65
Required for normal metabolism of sugar, carbs and fats
Chromium
66
Releases epinephrine and consequently increases metabolism
Green tea
67
Combining this with pomegranate significantly increases metabolism 5mg/3x/day
Fucoxanthin
68
Patient needs exercise Low end
Subtract pts age from 220 Multiply by 65% 20 min/day
69
High end exercises
Multiply max heart rate by 85% | 20 min/day