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Diabetes
Exam III
31
Nursing
Undergraduate 1
02/28/2011

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Cards

Term
Diabetes Mellitus can cause:
Definition
Blindness and amputation
Term
Steroids make glucose increase or decrease?
Definition
increase
Term
What is insulin?
Definition
anabolic storage hormone
Term
Insulin
Definition
-Transports and metabolizes
-stimulates storage of extra glucose
-signals to the live to stop release of glucose
Term
Insulin
Definition
-Enhances storage of dietary fat/adipose
-Accelerates transport of amino acid into cells
-Inhibits breakdown of stored glucose
Term
Where is insulin released?
Definition
pancreas
Term
Glucagon
Definition
Alpha cells
Term
Glycogenolysis
Definition
breakdown of stored glucose
Term
Type 1 Diabetes Causes
Definition
genetics, HLA (Human Leukocyte Antigen), Autoimmune response, viruses and toxins
Term
Type 1 Diabetes
Definition
-destruction of pancreatic beta cells
-decreased insulin production
-fasting and postprandial (after meal) hyperglycemia
Term
Type 1 Diabetes s/s
Definition
Thin, <30 yrs old, islet cell antibodies, lack of endogenous insulin
Hyperglycemia, DKA (diabetic Ketoacidosis), n/v, abdominal pains
Term
Type 1 s/s
Definition
Glucosuria, glucose in blood exceeds renal threshold, osmotic diuresis, glycogenolysis, gluconeogenesis, ketones
Term
Glucosuria
Definition
glucose in urine 180-200
Term
osmotic diuresis
Definition
all water is pulled out of the body
Term
Glycogenolysis
Definition
breakdown of stored glucose
Term
Gluconeogenesis
Definition
breakdown of amino acids and other substances
Term
Type 2 Diabetes
Definition
Slow onset, insulin resistance, impaired insulin secretion
Term
Type 2 Diabetes s/s
Definition
fatigue, irritability, polyuria, polydipsia, poor healing wounds, vaginal infections, blurred vision, hyperglycemia (HHNS)
Term
Hyperglycemic Hyperosmolar Nonkinetic Syndrome (HHNS)
Definition
is a huge amount of osmotic diuresis
Term
Type 2 prevention
Definition
diet, weight reduction, physical activity
Term
Diabetes Mellitus risk factors
Definition
family history, obesity, race/ethnicity, age, history of impaired fasting glucose or glucose tolerance, Hypertension, HDL cholesterol <35mg/dl, triglyceride >250mg/dl, history of gestational diabetes or baby > 9lbs
Term
Diabetes classic clinical manefestations
Definition
Three P's, fatigue, weakness, vision changes, numbness in hands and feet, dry skin, slow healing wounds, recurrent infections
Term
Hypoglycemia
Definition
<50-60
Term
Hypoglycemia causes
Definition
skipped meals, too much insulin
Term
Hypoglycemia
Definition
Mild:Tachycardia, nervousness, hunger
Moderate: concentration issue, headache, confusion, slurred speech
Severe:disoriented, seizures, decrease LOC
Term
Hypoglycemia management
Definition
15 grams of fast acting carbs
Term
Normal Fasting BG
Definition
70-110
Term
Best time to check BG?
Definition
before meals and at bedtime
Term
Normal casual BG
Definition
70-145
Term
Glucose tolerance test
Definition
drink something sweet and then test
Term
Glycated Hemoglobin Test
Definition
reveals BG levels for the past 3 months
normal 4-6%
Diabetic pt <7%
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