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diabetes ch41

diabetes med surg ch41

DM risk factors -family history -obesity (>20% BMI) - black, asian ->45yrs old -hypertension >140/90 -HDL <35 -triglyceride >250 -gestational history or babies over 9 lbs
us leading cause of: nontraumatic amputation blindness in working age adults end stage renal disease
3rd leading cause of death due to: MI, CVA, PVD
what does insulin do? transports & metabolized glucose for energy / stimulates storage of glucose in liver and muscle (glycogen) / signals liver to stop glucose release / enhances storage of dietary fat in adipose tissue / accelerates trasport of amino acids into cells
what does the pancreas do during fasting periods? releases small amounts of insulin (basal insulin)
what do insulin & glucagon do together? maintain constant level of glucose in the blood by stimulating release of glucose from liver
metabolic syndrom includes: hypertension hypercholesterolemia abdominal obesity
DKA does not typically occur in type2 DM, but uncontrolled type 2 may lead to hyperclycemic hyperosmolar nonketotic syndrome
% of type 1 DM % of type 2 DM 5-10 % type 1 90-55 % type 2
hyperglycemia elevated glucose leads to: intracellular dehydration diuretic effect polyuria & electrolyte imbalance impaired O2 transport to tissues (increased microbial growth)
the 3 P's signs of hyperglycemia polyuria polydipsia polyphagia (excessive hunger)
Created by: rtcdavis