Diabetes Mellitus

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Created by:

marler12  on March 2, 2011

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SCCCNursing2010

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Diabetes Mellitus

polyuria
excessive peeing
1/38

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Definitions

polyuria excessive peeing
polydipsia excessive thirst
polyphagia excessive eating
below 100 target range for LDL
below 150 target range for triglycerides
Men above 40, women above 50 target range for HDL in men and women
below 180 target range for peak postmeal plasma glucose
90-130 target range for premeal plasma glucose
carbohydrates, fats, cholesterol 50-60% fats 20-30% with 10% only for saturated fats and below 300 for this.
10-20% protein
amount per meal 1 unit of insulin for 15 g carb
carb budget/meal 445-60 g
food guide pyramid Useful for type 2 who have difficulty with calorie-control diet
(above 250 mg/dL) ketones Exercise with elevated blood sugar levels over this or with these in urine should be avoided
decreases Insulin normally ________ with exercise
increases Insulin need ________ after 1st trimester of pregnancy
1700 dollars the cost of conventional therapy
4000 dollars the cost of intensive therapy
5800 dollars the cost of infusion pump therapy
sulfylurea drugs first oral drug given to SKINNY type 2 diabetics
metformin first oral drug given to FAT type 2 diabetics
test for keytones glycosuria or elevated BG over 240 mg/dL
glycerol and fatty acids fat broken down through lysolysis in Type 1s release these:
syndrome X Insulin resistance syndrome is also know as
hyperosmolar nonketotic acidosis long periods of severe hyperglycemia may result in severe....
third gestational diabetes usually develops during the ___ trimester
IGT 2 hour post-glucose load 140-199 mg/dl
IFG Fasting blood glucose 100-125 mg/dl
Advanced Glycation End products The microvasculature of the retina, renal glomerulus, and the walls of the larger blood vessels, accumulate deposits of glycated proteins called
fruity smell smell of acetone
repaglinide works like a sulfonurea but peaks in 30-60 min and is rapidly metabolized and is taken with meals
metformin a biguanide agent that lowers plasma glucose mainly by preventing glycogenolysis in the liver.
thiazolidinedione act to increase tissue sensitivity to insulin, thus increasing glucose utilization and decreasing blood glucose levels.
Acarbose slows metabolism of carbohydrates
Ultralente longest acting insulin and is peakless
Regular short acting, with an onset of activity at about 30 minutes to 1 hour after injection and a peak activity at 2 to 3 hours.
Lispro rapid acting activates in 15 minutes and peaks in 30 to 90 minutes.
Regular regular insulin taken prior to breakfast will peak at about midmorning;
holding, giving hypoglycemia involves _______ insulin, and ketoacidosis requires _______ insulin.

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