NR 601 Final exam review
Weeks 5-8 content
Week
Topics
5
Dunphy:
Chapter 58: Diabetes
Mellitus p. 909-938
Kennedy:
⮚ Chapter 14:
Endocrine,
Metabolic, and
Nutritional
Disorders (p.3
69-376)
⮚ Obesity (p.
...
NR 601 Final exam review
Weeks 5-8 content
Week
Topics
5
Dunphy:
Chapter 58: Diabetes
Mellitus p. 909-938
Kennedy:
⮚ Chapter 14:
Endocrine,
Metabolic, and
Nutritional
Disorders (p.3
69-376)
⮚ Obesity (p.
392-396)
Glucose metabolism disorders
Types of diabetes (prediabetes, type 1 and type 2)
★ PreDmM = glucose intolerance, Islet cell–specific antibodies, Screening for
prediabetes and DM should be considered in all individuals who are overweight or
obese, regardless of age, and for all adults aged 45 years and older.
★ Type I - severe insulin deficiency resulting from beta cell destruction, which produces
hyperglycemia due to the altered metabolism of lipids, carbohydrates, and proteins
★ Type II - abnormal secretion of insulin, resistance to the action of insulin in the target
tissues, and/or an inadequate response at the level of the insulin receptor.
Types of diabetes- Two types: Type 1 and Type 2- Improper function of the hormone insulin, secreted
by the pancreas. Hyperglycemia is a hallmark sign of diabetes.
Prediabetes: Impaired glucose tolerance (IGT) describes a prediabetic state of hyperglycemia where
a 2-hour post-glucose load glycemic level is 140 to 199 mg/dL.
★ Type 1 (insulin deficiency)- Presents mostly during childhood. Genetic predisposition plus
some sort of environmental trigger. Results in an auto-immune disorder in which the
immune system attacks the beta cells of the pancreas to prevent them from producing
insulin (decreases production). Inhibits this first step in the insulin pathway.
★ Type 2- Presents mostly during adulthood. Strongly associated with a genetic predisposition.
Accompanied with other predisposing conditions, such as obesity or hypertension. Inability
of these cells throughout the body to respond to insulin. The pancreas continues to secrete
insulin. The cells throughout the body that are unable to adequately respond to it.
★ Miscellaneous
★ Drug-induced diabetes- caused by medications Most commonly occurs with a group of
medications that are known as glucocorticoids (steroids) such as in asthma or chrons.
★ Gestational diabetes
Presentation: acute, subacute, and asymptomatic
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