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13 Cards in this Set
- Front
- Back
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DM is a chronic d/o caused by:
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1) Deficient insulin production
2) Insulin action in the body |
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DM causes:
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Hyperglycemia
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Type 1
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Little or no insulin produced
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Type 2
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Defect in insulin production OR impairment of insulin receptors
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Risk factors for type 2?
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Race (latino americans, native americans, asian americans and pacific islanders are most at risk)
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Consequences of decreased insulin?
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- Glucose is not taken up by tissues -> increased synthesis of glucose by the liver
- protein synthesis is impairied (b.c the AA transport requires insuline) - Metabolism of fats are altered -> release of ketone bodies |
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Increased levels of serum glucose lead to:
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1) Pulling of fluid from interstitial fluid
2) Fluid loss through kidneys 3) Increased thirst Increased secretion of glucose in urine |
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Consequences of decreased insulin?
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- Glucose is not taken up by tissues -> increased synthesis of glucose by the liver
- protein synthesis is impairied (b.c the AA transport requires insuline) - Metabolism of fats are altered -> release of ketone bodies |
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Meds that can exacerbate hyperglycemia?
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Corticosteroids, Epinephrine and Growth Hormone
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Increased levels of serum glucose lead to:
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1) Pulling of fluid from interstitial fluid
2) Fluid loss through kidneys 3) Increased thirst Increased secretion of glucose in urine |
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PT implications for diabetics?
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Stress can increase Cortisol -> hyperglycemia
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Meds that can exacerbate hyperglycemia?
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Corticosteroids, Epinephrine and Growth Hormone
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PT implications for diabetics?
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Stress can increase Cortisol -> hyperglycemia
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