Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
DU PA-DM
Duke PA Diabetes Mellitus
| Question | Answer |
|---|---|
| polydipsia | excessive thirst |
| polyuria | excessive urination |
| early sign of type II DM | nocturia |
| Type II DM has a strong __ | genetic predisposition |
| two things to check each time a diabetic visits the office | blood pressure and feet |
| least common type of diabetes | type 1 |
| __% of diabetics are type I | 5-10 |
| __% of diabetics are type II | 90-95 |
| type I diabetes is caused by __ destruction | beta cell |
| __ can destroy beta cells | pancreatitis or autoimmunity |
| most common type of diabetes | type II |
| patients with __ diabetics have insulin resistance | type II |
| formerly called juvenile onset diabetes | type I |
| formerly called adult onset diabetes | type II |
| women with gestational diabetes can have | big babies |
| women with gestational diabetes have a __% chance of developing type II diabetes | 50 |
| Habitual physical inactivity | lazy |
| diabetes risk factors age greater than __ | 45 |
| women with polycystic ovary syndrome have increased __ | androgen levels |
| HDL < or = __mg/dl is a diabetes risk factor | 35 |
| triglycerides > or = __ is a diabetes risk factor | 250 |
| __ ovary syndrome is a diabetes risk factor | polycystic |
| FPG > or = 126 mg/dl | diabetes |
| FPG <126 mg/dl but > or = 110mg/dl | pre-diabetes |
| FPG < 110 mg/dl | normal |
| complications of diabetes | stroke, retinopathy, end stage renal disease, heart disease, foot/leg amputation |
| screen for end stage renal disease with | microalbumin |
| Measures Glucose Levels over 2-3 Month Period | HbA1c |
| Cannont be used to diagnose diabetes | HbA1c |
| don't order an HbA1c after a | cardiac bypass |
| HbA1c will not be accurate in patients with | sickle cell disease, hemolytic anemia, certain drugs, recent trasnfusion |
| suggested glucose range for diabetics before meals __mg/dL | 80-120 |
| suggested glucose range for diabetics after meals __mg/dL | 100-180 |
| suggested glucose range for diabetics at bedtime __mg/dL | 100-140 |
| suggested A1c for people with diabetes __% | 7 |
| the only current drug used to treat type I diabetes | insulin |
| 2 problems of type II diabetes | lack of correct glucose secretion, insulin resistance |
| best treatment for type II diabetes | lifestyle modification |
| ADA target A1c <__% | 7 |
| target bp for diabetics | 130/80 |
| target LDL for diabetics < or = __mg/dL | 100 |
| target HDL for diabetics > __ mg/dL | 35-45 |
| regular insulin is | clear |
| NPH insulin is | cloudy |
| in diabetes get rid of the __ first | low sugars |
| we don't use __ insulin treatment anymore | sliding scale |
| if you use a sliding scale insulin treatment you will let the patient get __ | sweet (hyperglycemic) |
| diabetic ketoacidosis occurs in type __ predominantly | I |
| diabetic ketoacidosis can occur in poorly controlled type __ diabetes | II |
| diabetic ketoacidosis breathing | Kussmaul breathing |
| reasons for DKA | infection, cardiac event, skipped medication |
| what can happen if you overreplace fluid in a child with DKA | cerebral edema |
| in euglycemia DKA | treat the acid not the sugar |
| when shutting off the insulin pump first give a __ | bolus of long acting insulin |
| enteral hypoglycemia treatment | 15 gm of carbohydrates |
| 15 grams of carbohydrates = | 3 glucotabs, 1/2 cup OJ, 5 lifesavers, 1/2 cup regular soda |
| parenteral hypoglycemia treatment | D50 IV, glucagon 1 mg IM |
| complications of diabetes | atherosclerotic vascular disease, renal disease, neuropathy, retinopathy |
| FBS of 126 mg/dL is roughly equivalent to an A1c of __% | 7 |
| FBS of 126 mg/dL is roughly equivalent to a 2 hour GTT of __ mg/dL | 200 |
| created when proinsulin splits into insulin and C-peptide | connecting peptide |
| c-peptide is decreased in __ diabetes | type I |
| c-peptide is increased or normal in __ diabetes | type II |
| Fasting blood glucose: no caloric intake for at least __ hours | 8 |
| Timed blood draw after oral load of a specific amount of glucose | Oral glucose tolerance testing (OGTT or GTT) |
| medications that increase glucose | diuretics, estrogens, beta blockers, corticosteroids |
| medications that decrease glucose | acetaminophen, alcohol, propanolol, anabolic steroids |
| 3 hour GTT Interpretation-normal fasting < __ mg/dL | 95 |
| 3 hour GTT Interpretation-normal 1 hour < __ mg/dL | 180 |
| 3 hour GTT Interpretation-normal 2 hour < __ mg/dL | 155 |
| 3 hour GTT Interpretation-normal 3 hour < __ mg/dL | 140 |
| abnormal 3 hour GTT Interpretation is defined as | 2 or more values above reference range |
| In normal people, 3-6% of hemoglobin is glycosylated in the form __ | A1c |
| gives information about long term glycemic control(previous 8-12 weeks) | HbA1c |
| patients with episodic or chronic hemolysis who have larger proportion of young RBCs might have spuriously low levels of | HbA1c |
| glycated albumin or glycated serum protein | fructosamine |
| Reflects hyperglycemic period within the last few weeks | fructosamine |
| Gives information of short term glycemic control | fructosamine |
| Useful for patients with chronic hemolytic anemias that cause shortened RBC life span | fructosamine |
| urine microalbumin | nephropathy |
| most common complication of DM | neuropathy |
| these are painless due to peripheral neuropathy | diabetic foot ulcer |
| 1 out of __ Americans born in the United states in 2000 are at risk for DM | 3 |
| Caused by destruction of insulin producing cells | Type I DM |
| Diabetes develops during pregnancy and resolves after pregnancy | gestational diabetes |
Created by:
bwyche
Popular Medical sets