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18 Cards in this Set
- Front
- Back
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type 2 diabetes is a metabolic disorder characterized by the relative dificiency of the ...
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insulin production and decreased insulin action and increased insulin resistance. Used to be called non-insulin-dependent adult onset OR type II diabetes
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theres an oral medicine for type 2 that enhances insulin secretion and insulin action...
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sulfonylurea is a classification of oral antibiabetic medication for treating type 2 DM that inhances insulin secretion and insulin action
sul fonyl urea |
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there is a class of oral meds for type 2 DM that reduces insulin resistance in target tissues, enhancing insulin action w/o directly stimulating insulin secretion
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thiazolidinediones
thiazo lidine diones reduces insulin resistance in target tissues |
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type 2 diabetes is called a non insulin dependent Dx. why?
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because type II DM issues are not related to the body not able to produce insulin, its other issues.
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how did type 2 DM used to be treated?
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with diet and exercise
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then the short version of what type II DM is, is ...
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a decreased sensitivity to insulin called insulin resistance AND impaired beta cell functioning resulting in decreased insulin production.
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so DM II is controled w/ diet and exercise and what else?
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oral hypoglycemic medicines. but sometimes the oral meds don't control HYPERglycemia and insulin shots are required.
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so ...
type II DM patients have elevated BG but can controll this with ... |
diet
exerise oral agents thay may require insulin shots during periods of acuteacute physiologic stress like illness or surgery. |
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so DM II occurs in people over what age and what condition?
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over 30 and fat
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what are the 2 main problems w/ type 2 DM
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1) insulin resistance
2) impaired insulin secretion |
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what does insulin resistance mean anyway?
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refers to decreased tissue sensivitity to insulin. insulin normally binds to cells but here these intercellular reactions are diminished so insulin is less effective stimulating glucose uptake by tissue AND regulating glucose released by the liver
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how do you overcome insulin resistance and prevent buildup of glucose in the blood?
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increased AMTs of insulin is needed to maintain glucose at a normal or slightly higher level than normal.
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so whats a difference b/t type 1 and type 2 here?
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type 2 has just enough insulin floating around to prevent breakdown of fat and producing keytone bodies. So, DKA doesn't happen usually w/ type 2
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OK
type 2 doesn't have the DKA problem But type 2 can lead to something else bad called HHNS what is this? |
page 113
HHNS is a serious condition where hyperosmolarity and hyperglycemia predominate, altering sensorium or sense of awareness. HHNS stands for hyperglycemic hyperosmolar nonketotic syndrome |
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whats a normal BG
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60-110 is normal
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when someone comes in w/ undiagnosed diabetes what kind of BG can we see in him?
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500 800 EVEN 1200
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CAN WE SEE SOMEONE NEEDING INSULIN THAT ISN'T A DIABETIC?
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PEOPLE ON PARENTIAL NUTRITION TO DECREASE K+ FOR SOMEONE W/ A VERY HIGH K+ to lower it
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what is the treatment for type 1 diabets?
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insulin
diet education exercise self monitoring ***************************** memorize all 5 |
