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    Diabetes Mellitus Outline For BB

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    dlneisha61
    Diabetes Mellitus Islets of Langerhans (pancreas)--secrete protein substances, thus adequate protein in diet important Secretions / Functions 1. Insulin 2. Glucagon Health Deviations of Pancreas 1. Hypofunction of pancreas.

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    Diabetes Mellitus Outline For BB

    Uploaded by

    dlneisha61
    119 views10 pages
    Diabetes Mellitus Islets of Langerhans (pancreas)--secrete protein substances, thus adequate protein in diet important Secretions / Functions 1. Insulin 2. Glucagon Health Deviations of Pancreas 1. Hypofunction of pancreas.

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    Diabetes Mellitus Outline for BB

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    Diabetes Mellitus Islets of Langerhans (pancreas)--secrete protein substances, thus adequate protein in diet important Secretions / Functions 1. Insulin 2. Glucagon Health Deviations of Pancreas 1. Hypofunction of pancreas.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    119 views10 pages

    Diabetes Mellitus Outline For BB

    Uploaded by

    dlneisha61
    Diabetes Mellitus Islets of Langerhans (pancreas)--secrete protein substances, thus adequate protein in diet important Secretions / Functions 1. Insulin 2. Glucagon Health Deviations of Pancreas 1. Hypofunction of pancreas.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 10

    Diabetes Mellitus

    Islets of Langerhans (pancreas)--secrete protein substances, thus adequate protein in


    diet important
    Secretions/Functions
    1. Insulin

    2. Glucagon

    Health Deviations of Pancreas


    1. Hypofunction of Pancreas------Diabetes Mellitus

    Types of DM
    a. Type I (formerly called insulin-dependent diabetes mellitus--IDDM)
    2

    S&S of Type I DM

    b. Type II (formerly called noninsulin-dependent diabetes mellitus--


    NIDDM)

    DX Procedures for Hypofunction of Pancreas


    1. Fasting blood sugar (FBS)
    3

    2. Postprandial blood glucose (PPG)

    3. Glucose tolerance test (GTT)

    4. Capillary blood glucose monitoring (CBGM) or also called self monitoring of blood
    glucose (SMBG)

    5. Glycosylated Hemoglobin (Ghb or HbA1c)--normal 4 - 8%; poor control 13 - 20%

    6. Urine ketone levels

    DM CONTROL CRITERIA
    1. Optimal weight
    2. Glycosylated HGB wnl
    3. FBS < 140
    4. BS < 180 1 - 2 hours after meal.

    Medical Management of DM
    1. Diet
    4

    2. Medications
    a. Oral hypoglycemic agents (OHAs) also called oral antidiabetic agents

    b. Insulin Therapy

    Types of Insulin

    a. Rapid acting (Humalog or insulin lispro)

    b. Short acting (clear)

    c. Intermediate acting (cloudy)

    c. Long acting (cloudy)-Ultralente

    d. Pre-mixed (cloudy)
    5

    e. Mixing Regular and NPH

    Types of Insulin Administration


    SQ
    Injections
    Insulin Pens

    IV

    Insulin Pump

    Insulin Complications
    1. Allergic reaction
    a. Local

    b. Systemic
    6

    2. Lipodystrophy

    3. Insulin resistance

    4. Morning hyperglycemia

    a. Somogyi phenomenon

    b. Dawn phenomenon

    3. Exercise

    Nursing Mgt of DM
    7

    Planning for "Sick Day"

    Acute Complications of DM
    1. Hypoglycemia
    8

    2. DKA

    3. HHNK (also called HHNS)


    9

    Chronic Complications of DM
    1. Macrovascular

    2. Microvascular

    a. Diabetic retinopathy

    b. Diabetic nephropathy
    10

    c. Diabetic neuropathy

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