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is a group of diseases, characterized by an inability to metabolize glucose properly |
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this can cause: hyperglycemia with vascular, neurological, renal and vision disorders |
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this reduces glucose in the blood by permitting transport into cells, cont. to reduce glucose through storage of excess glucose a9liver or fat) |
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no insulin secretions, beta cells dead |
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insulin resistance, beta cells fatigued with diminished secretions |
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polyuria (I), Polydipsia (I thirst), polyphagia (I hunger), wt loss are |
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classic syptoms of diabetes |
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diabetic test over 120 day period, 3 months |
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Characteristics: autoimmune disorder, ~puberty, I caucasians, sudden syptoms, can lead to death w/o insulin |
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takes fat and protein turns it into Glucose |
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takes fat and protein turns it into Glucose, but then fat leaves ketones in blood, which turns to acid |
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caused b/c there is nowhere to store Glucose, and no insulin to help lower blood glucose. |
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if pancrease is damaged/removed? |
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Characteristics: Family hx, I BMI, many ethnic groups affected, more females, I with age |
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Without insulin or oral hypoglycemics Type 2's can lead to |
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Short acting ~30min Novolin R, Humulin R |
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works faster than regular ~10-15min Humalog, Novolog, Apidra new |
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~3hrs Novolin N, Humulin N |
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Intermediate acting Insulin |
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every 24 hours Lemur, Levermir |
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use either regular or rapid acting check sliding scale for units needed |
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Basal and Bolus given with what type of insulin |
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Long acting insulin routine |
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site of inj., depth of inj., dose, exercise, heat/massage all |
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affect insulin absorption |
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when blood sugar is less than 60 |
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causes of: OD on insulin, unusually rapid absorption, omitting/delaying meals, exercise w/o food coverage, illness, alcohol, weight loss |
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S: hunger, headache, drunken feeling, diplopia (double vision), tremors, can lead to: diabetic encephalopathy (brain damage) |
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HYPOglycemia
need food=need glucose=HYPO |
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tx: food, quick acting glucose, glucose gels, inj. glucose |
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