What does insulin do? - ANS Move glucose from blood to muscles/ cells for energy
What is diabetes? - ANS A metabolic disorder characterized by the body's inability to
produce any or enough insulin resulting in high levels of glucose in the blood.
Where is insulin produced? - ANS Pancreas
What is the major fuel for the CNS? - ANS Glucose
Describe type 1 diabetes. - ANSWER It is an autonomic disorder where beta cells are
destroyed. The only way to treat it is with insulin ONLY.
What is the normal age of onset for type 1 diabetes? - ANSWER Usually <30 and abrupt
Describe type 2 diabetes. - ANSWER It is a progressive disorder with a combination of
resistance and deficiency of insulin.
What is the common age of onset for type 2 diabetes? - ANSWER Middle age/ Older adult
What is a fasting blood glucose of a diabetic? - ANSWER >126
What is normal for a fasting blood glucose? - ANSWER <100
What is the fasting blood glucose of a pre-diabetic? - ANSWER 101-125
,What is the score of a diabetic for the Glucose Tolerance Test? - ANSWER >200
What is a normal score for the Glucose Tolerance Test? - ANSWER <140
What is the A1C (glycoslated hemoglobin) for a diabetic? - ANSWER >6.5%
What is normal A1C (glycoslated hemoglobin)? - ANSWER 4-6%
What are some signs and symptoms of hyperglycemia? - ANSWER -Warm and moist
-Kussmaul respirations
-Abdominal Cramps
-N&V
-Ketones in urine
-Metabolic Acidosis
-Glucose >250
What is signs and symptoms of hypoglycemia? - ANSWER -Cool and clammy
-Anxious/Nervous
-Mental confusion
-Weakness
-Blurred vision
-Tacchycardia
-Seizures
-Coma
-Hunger
-Palpitations
-Glucose <70
, What is neuropathy? - ANSWER Pain, tingling, numbness in peripheries
Patients with neuropathy are at an increased risk for _______? - ANSWER Injury to feet
How should patients with neuropathy prevent injury to the feet? - ANSWER -Wear shoes
all the time
-Shoes should not be too tight
-Change shoes every other day
-Change socks daily
-Inspect feet daily
-Trim nails straight across
-Do not soak feet
How would you prevent nephropathy? - ANSWER -Control BS
-Control HTN
-Stop smoking
-Prevent UTI's
Avoid contrast dies
-Avoid Nephrotoxic drugs
If a patient has nephropathy with protein/albumin present, what is done? - ANSWER
Decrease protein intake
What percentage of a diabetics diet should include protein? - ANSWER 15-20%
What percentage of a diabetics diet should include carbohydrates? - ANSWER 45%
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