Shared Flashcard Set

Details

Therapeutics Type 1 Lynch
Exam 3
8
Other
Professional
11/30/2009

Additional Other Flashcards

 


 

Cards

Term
With tight glycemic control, is there a reduction in microvascular complications or macrovascular complications?
Definition
  • There is a reduction in microvascular complications, such as retinopathy, neuropathy, and nephropathy
  • There is yet to be any evidence that suggests reduction in macrovascular complications and some data shows that tight glycemic control can make it worse
Term
Microvascular complications include:
Definition
  1. retinopathy
  2. neuropathy
  3. nephropathy
Term
In patients with Type 1 Diabetes, what dose of insulin should patients be initiated on?
Definition

0.5-0.8 units/kg/day

 

 

Term
What are some symptoms of hypoglycemia?
Definition
  1. racing heart rate
  2. cold sweats
  3. tremors
  4. hunger
  5. confusion
  6. slurred speach
  7. loss of fine muscle coordination
Term
Somogyi Effect
Definition
  • An inappropriate response to night time hypoglycemia
  • Body produces cortisol and this causes blood glucose levels to rise, resuling in AM hyperglycemia
Term
Signs of night time hypoglycemia
Definition
  1. Wet sheets or sleeping clothes (from sweating)
  2. Nightmares or restless sleep
  3. Waking with headaches or still feeling tired
Term
How do you treat hypoglycemia?
Definition

10-20 g of glucose is recommended

2-4 pieces of hard candy, 1/2 can of non-diet soda, 3/4 cup of OJ

Glucagon should be prescribed to those with severe hypoglycemia or with decreased capacity to treat themselves

Term
Pramlintide
Definition

A synthetic amylin analogue

Slows gastric emptying, suppresses post-prandial glucagon secretion, and centrally mediates appetite suppression

Amylin is absent in patients with type 1 diabetes

Used as an adjunct to insulin therapy in patients with type 1 or type 2 diabetes

For patients that are on insulin and are gaining weight

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