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18 Cards in this Set

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type 2 diabetes is a metabolic disorder characterized by the relative dificiency of the ...
insulin production and decreased insulin action and increased insulin resistance. Used to be called non-insulin-dependent adult onset OR type II diabetes
theres an oral medicine for type 2 that enhances insulin secretion and insulin action...
sulfonylurea is a classification of oral antibiabetic medication for treating type 2 DM that inhances insulin secretion and insulin action

sul fonyl urea
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
thiazolidinediones
thiazo lidine diones

reduces insulin resistance in target tissues
type 2 diabetes is called a non insulin dependent Dx. why?
because type II DM issues are not related to the body not able to produce insulin, its other issues.
how did type 2 DM used to be treated?
with diet and exercise
then the short version of what type II DM is, is ...
a decreased sensitivity to insulin called insulin resistance AND impaired beta cell functioning resulting in decreased insulin production.
so DM II is controled w/ diet and exercise and what else?
oral hypoglycemic medicines. but sometimes the oral meds don't control HYPERglycemia and insulin shots are required.
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.
so DM II occurs in people over what age and what condition?
over 30 and fat
what are the 2 main problems w/ type 2 DM
1) insulin resistance
2) impaired insulin secretion
what does insulin resistance mean anyway?
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
how do you overcome insulin resistance and prevent buildup of glucose in the blood?
increased AMTs of insulin is needed to maintain glucose at a normal or slightly higher level than normal.
so whats a difference b/t type 1 and type 2 here?
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
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
whats a normal BG
60-110 is normal
when someone comes in w/ undiagnosed diabetes what kind of BG can we see in him?
500 800 EVEN 1200
CAN WE SEE SOMEONE NEEDING INSULIN THAT ISN'T A DIABETIC?
PEOPLE ON PARENTIAL NUTRITION TO DECREASE K+ FOR SOMEONE W/ A VERY HIGH K+ to lower it
what is the treatment for type 1 diabets?
insulin
diet
education
exercise
self monitoring
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