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diabetes questions
diabetes
28
Health Care
Undergraduate 1
01/10/2012

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Cards

Term
cardiac
skeletal muscle
adipose
tissue need insulin to take up ?
Definition
glucose
Term
typ1 dm
Definition
what type of dm at risk for ketoacidosis
Term
absolute lack of insulin
Definition
type 1 DM
Term
what are the three metabolic abnormalities of DM 2
Definition
impaired insulin secretion
insulin resistance
excess glucose production by the liver
Term
excess glucose production by the liver breaks down fats and proteins
Definition
glyconeogenesis
Term
what happens to the receptor sites in DM 2
Definition
inadequate number
unresponsive receptor sites
Term
glycogenolysis
Definition
breakdown of liver glycogen to make glucose
Term
type I DM s/sx
Definition
polyuria
polyphagia
polydipsia
Term
why polyuria ?
Definition
glucose works as a diuretic on the kidney
Term
polydipsia
Definition
decreased interstitial volume
increased urination = dehydration
Term
why polyphagia
Definition
glucose does not enter the heart-adipose or the skeletal muscles.
Term
TYPE 11 DM s/sx
Definition
o Fatigue
o Blurred vision
o Acanthuses nigricans
o Paresthesias
• Recurrent skin infections
• Prolonged wound healing
Vaginal infections
Term
type 2
Definition
• Genetic predisposition
• 45 years old
• BMI >25
• Inactivity
• Race
Term
OGTT is used when
Definition
gestational DM
Term
how much sugar is given
Definition
75 g
Term
blood sugars are drawn how often with OGTT
Definition
1-2-3 hours
Term
when should blood sugars return to normal with OGTT
Definition
2-3 hours
Term
the amount of glucose attached to Hgb over the RBC lifespan
Indicates glucose control over last 3 months
Definition
Hgb A1C
Term
• Factors that can alter blood glucose results
Definition
o User error
o Inadequate blood sample
o Improperly stored/outdated test strips or control solution
o Uncalibrated meter
o Soiled meter
Term
urine tests
Definition
monitor for KETONES DM 1
Term
A. Guidelines for safe exercise
Definition
a. Delay if glucose  80 or  300 mg/dl, ketones
b. Exercise after meals
c. Drink plenty of fluids pre and post
d. Carry fast acting CHO source
e. Monitor for post hypoglycemia
f. Medical alert identification
Term
what population may not show autonomic dm symptoms
Definition
ELDERLY
Term
WHAT MEDS MAY DECREASE SYMPATHETIC RESPONSE TO LOW BLOOD SUGARS
Definition
B BLOCKERS
Term
C. Neuroglycopenic
Definition
a. Headache, weakness, fatigue, difficulty concentrating, dizziness, difficulty speaking, confusion, blurred vision
Term
HYPERGLYCEMIA S/SX
Definition
a. Frequency in urination
b. Thirst
c. Dry mouth
d. Urination at night
e. Drowsiness or fatigue
f. Loss of weight
g. Increase in appetite
h. Slow healing of wounds
i. Blurriness in vision
j. Dry and itchy sk Headache, weakness, fatigue, difficulty concentrating, dizziness, difficulty speaking, confusion, blurred vision
Term
Some of the factors that cause hyperglycemia are
Definition
a. Eating more food than is mentioned in your planned diet
b. Uncontrolled diabetes
c. Taking less of the oral agent or insulin than required
d. Emotional stress (workplace challenges or family conflicts)
e. Exercising less than required/planned
f. Certain medications (ex steroids)
g. Physical stress (cold, flu or infection)
h. Surgery
i. Injury
Term
E. Infections both acute and chronic. Soft tissue, bone, UTI, teeth, TB. Decreased response to infection because of:
Definition
Vascular disease
Neuropathies
Hyperglycemia
Altered neutrophil function
Term
CARE OF DIABETIC FEET
Definition
TAKE CARE OF DM KEEP BS AT TARGET RANGE
CHECK FEET DAILY
INCREASE ACTIVITY
MEDICARE COVERAGE FOR SHOES
WASH FEET DAILY
DRY BETWEEN THE TOES
DO NOT LOTION BETWEEN TOES
WEAR SHOES AND SOCKS ALL THE TIME
CHECK SHOES FOR WEAR
DO NOT CROSS LEGS
NO HEATING PADS
WIGGLE YOUR TOES
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