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diabetes med surg ch41

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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  
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us leading cause of:   nontraumatic amputation blindness in working age adults end stage renal disease  
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3rd leading cause of death due to:   MI, CVA, PVD  
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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  
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what does the pancreas do during fasting periods?   releases small amounts of insulin (basal insulin)  
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what do insulin & glucagon do together?   maintain constant level of glucose in the blood by stimulating release of glucose from liver  
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metabolic syndrom includes:   hypertension hypercholesterolemia abdominal obesity  
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DKA does not typically occur in type2 DM, but uncontrolled type 2 may lead to   hyperclycemic hyperosmolar nonketotic syndrome  
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% of type 1 DM % of type 2 DM   5-10 % type 1 90-55 % type 2  
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hyperglycemia elevated glucose leads to:   intracellular dehydration diuretic effect polyuria & electrolyte imbalance impaired O2 transport to tissues (increased microbial growth)  
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the 3 P's signs of hyperglycemia   polyuria polydipsia polyphagia (excessive hunger)  
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