a MCPHS- Provider I- Ch 41- Assessment & Management of Pts w/DM
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Group of diseases characterized by hyperglycemia | show 🗑
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show | Insulin secretion, Insulin action, Both
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show | Transport, Metabolism, Stimulates storage, Inhibits breakdown, Signals liver to stop release
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show | Liver & muscles
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show | Enhances storage of dietary fat in adipose tissue, Transport of amino acids into cells, Inhibits breakdown of protein and fat
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show | Autoimmune destruction of Beta cells in pancreas
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show | Decreased sensitivity to insulin (resistance), Impaired beta cell function
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show | Type 2 DM
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show | 126 mg/dL
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show | 200 mg/dL
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show | Polyuria, Polydipsia, Polyphagia
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Polydipsia vs. Polyphagia | show 🗑
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Dietary goals r/t DM | show 🗑
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show | Type I diabetes
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Main causes r/t DKA | show 🗑
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show | Type II diaetes
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show | Type I and Type II diabetes, Not only Pts using insulin
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show | Stimulates liver to release glucose
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show | Decreased insulin production, Rampant glucose production by liver, Fasting hyperglycemia, Glucose not stored in liver
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show | Fat breakdown
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show | Abd pain, N/V, Hyperventilation, Acetone breath(fruity odor)
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Insulin problems r/t Type II diabetes | show 🗑
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Primary treatment r/t Type II diabetes | show 🗑
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Main goal r/t Diabetes treatment | show 🗑
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Glycated hemoglobin(A1C) reflects | show 🗑
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show | RBC's for the cells entire life
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show | R:Lispro, S:Regular, I:NPH, V:Lantus
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show | R:15 min, S:30 min, I:2 hrs, V:1 hr
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show | Mimic normal pattern of insulin secretion d/t food intake and activity patterns
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show | Commitment, Intensive education, Close follow-up w/health care team
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Complications r/t Insulin therapy | show 🗑
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show | Dawn phenomenon, Insulin waning, Somogyi effect
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show | Insulin pen, Jet injector, Insulin pump, Implantable insulin delivery, Pancreatic cell transplants
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show | Needle insertion & insulin injection
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Absorption rates(Fastest to slowest) r/t Injections sites | show 🗑
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Hypoglycemia r/t Blood glucose level | show 🗑
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show | Too much insulin or physical activity, Too little food
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Mild vs. Moderate vs. Severe hypoglycemia r/t Manefestations | show 🗑
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show | 15g fast-acting concentrated CHO
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Emergency treatment r/t Hypoglycemia | show 🗑
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Time r/t Snacking | show 🗑
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3 main clinical feature r/t DKA | show 🗑
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show | Rehydration, Insulin administration
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Precipitating events r/t HHNS | show 🗑
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show | Generally do not occur
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show | Hypotension, Severe dehydration, Tachycardia, Variable neurologic signs
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Initial treatments r/t DKA & HHNS | show 🗑
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Cause r/t Diabetic retinopathy | show 🗑
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Autonomic neuropathy r/t Adrenergic symptoms of hypoglycemia | show 🗑
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show | Numbness around mouth, Difficulty concentrating
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Manifestations r/t Sudomotor neuropathy | show 🗑
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