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Acute complications

Insulin Reactions hypoglycemia below 70 - too much insulin, too little food, or excessive physical activity
Insulin Reactions 15 gram carbohydrate fast acting concentrated source; juice
Insulin Reactions unconscious adults rewquire injection of glucagon 1 mg subcutaneous
Glucagon hormone produced by the alpha cells of the pancrease that stimulates the liver to breakdown glycogen, the stored insulin
Diabetic Ketoacidosis may be intial diagnosis of Type 1
DKA 3 main characteristics - hyperglycemia, dehydration and electrolyte loss; acidosis
DKA breakdown of fat into free fatty acids and glycerol that are convered into ketons causing metabolic acidosis
DKA 3 main causes - decreased/missed dose of insulin, illness or infection and undiagnosed and untreated diabetes
Sick Date rules take insulin or oral antidiabetic agents as usual; test blood sugar q 3-4 hours;
DKA leads to polyuria; polydipsia, marked fatigue
HHS (hyperglycemic hyperosmolar syndrome) effects Type 2-resulting from a relative insulin deficiency due to illness
HHS occurs in older adults 50-70 years of age
HHS ketosis AND acidosis do not occur
HHS clinical manifestation hypotension, profound dehydration, tachycardia, altered consciousness, seizure
HHS treatment fluid replacement 0.45 or o.9 normal saline with potassium addition
Created by: N122-medsurg