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NUR 337 Final Exam 3 Questions And 100% Accurate Answers.

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  • NUR 337

Type 1 diabetes - Answer 5% of people with DM have type 1 destruction of beta cells on pancreas AND decrease in insulin production (which increases glucose from the liver) type 2 diabetes - Answer insulin resistance AND impaired insulin secretion mostly obese people over 30 latent...

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  • September 6, 2024
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NUR 337 Final Exam 3 Questions And
100% Accurate Answers.
Type 1 diabetes - Answer 5% of people with DM have type 1



destruction of beta cells on pancreas AND decrease in insulin production (which increases glucose from
the liver)



type 2 diabetes - Answer insulin resistance AND impaired insulin secretion



mostly obese people over 30



latent autoimmune diabetes of adults (LADA) - Answer when body is destroying the beta cells (slower
than type 1 usually)



risk factors for diabetes - Answer family history



race/ethnicity



age



HTN (modifiable)



high cholesterol (modifiable)



Hx of gestational diabetes



diabetes is the leading cause of ESRD and amputations and blindness!!!

,manifestations of diabetes - Answer polyuria (increased urination)



polydipsia (increased thirst)



polyphagia (increased appetite)



fatigue, weakness (usually later when undiagnosed for a while)



numbness/tingling



dry skin/lesions



frequent infections



nausea, vomiting, abdominal pain (more common in T1 than T2)



normal blood glucose - Answer <200 mg/dl



diabetic blood glucose - Answer >200 mg/dl



normal fasting blood glucose - Answer <126 mg/dl



diabetic fasting blood glucose - Answer >126 mg/dl



normal A1C - Answer <5.7%



diabetic A1C - Answer > or equal to 6.5%



more uncontrolled DM = higher A1C

,pre-diabetes A1C - Answer >5.7



diet for diabetics - Answer 50-60% carbohydrates

30% fats

non animal sources of protein (legumes, whole grains)

increased fiber



general management of diabetes - Answer diet

exercise

glucose monitoring

pharmacologic therapy

education



insulin therapy for diabetes - Answer rapid acting insulin

short acting insulin

intermediate acting

long acting insulin



rapid acting insulin - Answer aspart (novolog)



"shot when the food is hot"



lasts 2-4 hours



short acting insulin - Answer regular (Novolin R, Humulin R)



lasts 4-6 hours

, intermediate acting insulin - Answer NPH (neutral protamine Hagedorn)



lasts 16-20 hours



long acting insulin - Answer Detemir (Levemir)



lasts 24-36 hours



other medications for diabetes - Answer second generation sulfonylureas: glipizide (glucatrol)



biguanides: metformin (glucophage)



dipeptidyl peptidase-4 inhibitors: sitagliptin (januvia)



*all meds can have renal and liver complications



hypoglycemia - Answer less than 70mg/dl



severe: <40 mg/dl



causes of hypoglycemia - Answer too much insulin



too little food



too much exercise



symptoms of hypoglycemia - Answer sweating

tremors

tachycardia

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