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Type 2 diabetes
Terms in this set (17)
9.4% of population in 2017
More common in adults than juveniles
Called adult onset diabetes
Children 10-19 years old (onset of type)
Risk factors (cause of disease)
Body mass index 26
HDL<35 and/or triglyceride>250
Prediabetes-warning sign for the development of type 2
Pathophysiology type 2 diabetes
Cell membrane resists transport of glucose into cell
Increased insulin required
Pancreas beta cells fail
What are the modifiable risk factors for type 2 diabetes?
Fat distribution (apple shape)
Increased lipids, cholesterol, triglycerides
What are the nonmodifiable risk factors for type 2 diabetes?
-Race (African American, latino, native american, asian
american, pacific islander)
-Women who a baby weighing greater than or equal
than 9lbs or past history of gestational diabetes
-Women with polycystic ovary syndrome(irregular
menstrual periods, excessive hair growth and obesity)
-History of cardiovascular disease
-HbgA1c greater than or equal to 5.7% on previous
-Areas of darkened skin, usually in the armpits and neck
(indicates insulin resistance)
What are the clinical manifestations for type 2 diabetes?
Poor wound healing
Recurring infection (Yeast, UTI)
How is type 2 diabetes diagnosed?
Fasting blood glucose
2hr postprandial blood levels
Random blood glucose
A1C - greater than or equal to 6.5%
Fasting- greater than or equal to 126mg/dl
2hr- greater than or equal to 126mg/dl
Random- greater than or equal to 200mg/dl
How is type 2 diabetes treated?
Monitoring glycemic control
Monitoring for complications
What medications are used for type 2 diabetes?
Glucagon-like peptide (Trulicity, VIctoza)
What complications are associated with type 2 diabetes?
Hyperosmolar hyperglycemic state (HHS)
Depressed immune system
-Poor wound healing
Diabetic peripheral neuropathy
What assessment would you perform for type 2 diabetes?
Insulin or oral glucose control
Capillary refill time
Intake and output
Urine for microalbuminuria
Carbohydrate intake at meals
What actions should you as the nurse perform for a patient with type 2 diabetes?
Blood glucose monitoring
Administer oral diabetes medications as ordered
Administer insulin as ordered
Administer isotonic IV fluids as ordered
Administer antibiotics as ordered
What patient education would you provide for type 2 diabetes?
Regular blood glucose checks
Signs of hypo and hyperglycemia
Monitoring for complications
What outcomes are desired for a patient with type 2 diabetes?
Tight glycemic control
Avoidance of complications
Medications side effects
upper respiratory infection
congested heart failure
increased risk for bone fraction
Clinical manifestations related to hyperglycemia
-poor wound healing
-visual disturbance and renal insufficiency
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