BG<60;trembling,shaking, sweating,rapid HR, headache,hunger tingling of extremities,
Polyphagia
cells have no glucose, starvation occurs, they will stay in starvation mode until insulin is available to move glucose into cells
DKA--Management--drug therapy
goal to lower BG by 75-150/hr; MILD-subQ Moderate to severe--reg. insulin by continous IV OR inital bolus 0.1unit/kg followed by IV insulin drip 0.1 unit/kg/hr; assess BG qhr
DKA--patient/family teaching
check BG q4-6hr, check ketones, drink 3L, with nausea-liquids w/glucose & electrolytes, vomiting-8-12oz calorie free liquids, 150g of carb,
Dawn Phenomenon
nighttime release of GH that causes hypoglycemia between 5-6am--give intermediate insulin @HS
Delta cell secrete
Somatostatin
Somogyi Phenomenon
morning hyperglycemia from counterregulatory response to nighttime hypoglycemia--give food@night
