Pts with diabetes Flashcards

1
Q

Type 1 Diabetes

A

-bodys own immune system attack the cells in the pancreas that produce insulin

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2
Q

Type 2 Diabetes

A

the pancreas does not produce enough insulin and or the bodies tissues do not respond properly to the actions of insulin -insulin resisatant

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3
Q

Gestational diabetes

A

diabetes with first onset or recognition during pregnancy

-will put women at baby at higher risk of DM later in life

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4
Q

pre diabetes

A

when a persons blood sugar levels are higher than normal but not enough to be diagnosed with type 2

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5
Q

complications of diabetes are _________vascular and _______vascular

A

microvascular and macrovasular

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6
Q

what are some microvascular complications of diabetes

A
  • retinopathy
  • nephropathy (renal disease/failure)
  • neuropathy can lead to foot problems
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7
Q

what are some macorvascular complications of diabetes

A
  • stroke
  • heart disease and hypertension
  • peripheral vascular disease
  • ulcers and amputation
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8
Q

_________ is a major risk factor for cardiovascular disease

A

diabetes, 80% of people with diabetes will die from cardiovascular disease

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9
Q

Signs and symptoms of hypoglycemia

A
Blood glucose less then 4 mmol/L
condusion-change in LOC
sweating 
rapid pulse 
tremors
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10
Q

signs and symptoms of hyperglycemia

A
Blood glucose greater than 7 
polyuria 
polyphagia 
polydipsia 
glucosuria 
weight loss 
fatiuge
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11
Q

Major categories for management of diabetes

A
  • Exercise
  • Nutrition
  • monitoring
  • pharmacological therapy
  • Education
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12
Q

blood glucose monitoring is important for

A

-self detection and prevention of hypo/hyperglycemia

-

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13
Q

fasting blood glucose

A

to measure amount of glucose in blood at time of sample collection

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14
Q

glucose tolerance test

A

done after FBG, the patient drinks a standard solution of glucose to challenge their system -followed by specific intervals to track “glucose challenge”

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15
Q

diabetic ABCS for managment

A

A1c less than or equal to 6.5%
BP less than or equal to 130/80
Cholesterol-LDL-C less than 2.5 mmol/L

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16
Q

Humalog (lispro)

A
  • rapid acting insulin
  • give immediately before meals
  • may be mixed with NPH insulin
  • onset: 10-15 min
  • peak: 60-90 min
  • Duration: 3-5 hrs
17
Q

regular Humulin

A
  • short acting insulin
  • may be given IV
  • may be given with NPH
  • Onset: 30-60 min
  • peak: 2-4hrs
  • Duration 5-8 hrs
18
Q

oral hyperglycemics BIGUNADES

A
ex. metformin 
decrease hepatic glucose production 
decrease intestinal glucose absorption 
increase sensitivity to insulin 
contradicted in pts with renal impairment
monitor creatinine