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Diabetes Mellitus Packet

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Diabetes Mellitus Packet Signs and symptoms of diabetes mellitus - answer--Polyuria ,Polydipsia, Polyphagia Signs and symptoms assiciated with HYPERglycemia - answer--wt loss, polyuria, keytonuria, weakness and fatigue, blurred vision, headache, glycosuria, nausea and vomiting, abdominal cramps, puritis (itching) Signs and symptoms assiciated with HYPOglycemia - answer--shakiness, tremor, irritability, sweating, confusion, dizziness, blurred vision, hunger, slurred speech, tachycardia, and kind of paresthesia (numbness) Diabetes Mellitis - answer--chronic multisystem disease r/t abnormal insulin production, impaired insulin production, or both Type 1 Diabetes - answer--insulin dependent, auto-immune disorder in which beta cells distraction (younger kids) Type 2 Diabetes - answer--non-insulin dependent, impaired insulin secretion, insulin resistant, (35 and older) Insulin Resistance - answer--Endogenis insulin present, not enough for tissue needs Insulin - answer--Produced by pancreatic beta cells to produce energy, decreases blood glucose to stable Counterregulatory (Stress) Hormones - answer--glucagon, epinepherine, growth hormone, cortisol, work against actions of insulin. increase BS and decresase HYPOglycemia Oral hypoglycemic agents - answer--do NOT use in type 1 diabetes, USE in type 2 Normal Lab Values - answer--FBG- <100mg/dL OGTT- <140 mg/dL Treatment of type 1 Diabetes - answer--Exercise, Monitor for signs of HYPERglycemia, Insulin will be required every day, Blood glucose testing, Monitor for signs of HYPOglycemia When is the best time to administer the AM insulin? - answer--30 min- 1 hr before breakfast, and check blood sugar level If I forget the PM dose of insulin, can I double the dose in the morning? - answer--No, and check your blood sugar level What should I do if I get shaky and dizzy? - answer--Always carry oral glucose tablets, check blood sugar level, drink apple or grape juice, and know the signs and symptoms of hypoglycemia How do I prepare for a hypoglycemic reaction? - answer--Know the signs and symptoms of hypoglycemia, Always carry oral glucose tablets, and drink apple or grape juice A client is diagnosed with diabetes mellitus type 1. In teaching the client about diabetes mellitus type 1, it is most important for the client to: - answer--Understand that insulin injections will be required daily. The nurse learns in morning report that the 0700 fasting blood glucose of a client was 74 mg/dL. Which of the following morning assessment findings is of priority? - answer--Diaphoresis noted while taking vital signs

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