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18 Cards in this Set
- Front
- Back
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stimulate pancreas to produce more insulin (for patients with some pancreatic production)
SE: hypoglycemia Type I |
sulfonylureas
glipizide glyburide glimerpiride |
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slow carbohydrate digestion
SE: cramps, borborygamus, flatus Type I and II |
a-glucosidase inhibitor
acarbose miglitol |
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stimulated pancreatic insulin production
SE: hypoglycemia Type II |
meglitinides
repanglinide nateglinide |
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dec liver produc of gluc, inc muscle us of sugar
SE: nasea, diarrhea, dec appet, lactic acidosis Type I and II |
biguanides:
metformin |
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dec insulin resistance
SE: hypoglycemia, inc risk for heart failure Type I and II |
Thiazolidinediones:
rosiglitazone pioglitazone |
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short acting insulin
onset 30 min peak 2-4 hours duration 5-8 hours |
regular insulin
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rapid acting insulin
action: 5-15 min peak 45-75 min duration 2-4 hours |
insulin...
lispro aspart glulisine |
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3 healthy people 2010 objectives for DM
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dec DM death rates
dec frequency of foot ulcer inc to 52% patient formal DM education |
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DM Dx
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2 fasting > 126
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Dx preDM
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2 fasting 100-125
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macrovascular changes dt DM
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MI
stroke PAD |
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microvascular changes dt DM
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retinopathy (mini-hemhorages)
microalbuminuria (dsyfx glomerulus spill proteins) |
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2nd most common reason for liver transplants in the US
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acetominphen related liver failure
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5 reasons for medical intervention in DM
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replace insulin
inc insulin production dec insulin resistance dec release of stored glucose alter nutrient absorbtion |
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3 glucose related emergencies
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DKA ( lack of insulin and ketosis)
HHNS (insulin defic and dehydration) hypoglycemia |
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long acting insulin:
NPH glargine Detemir |
onset all 2 h
peak : 6-10 h NPH, no peak glargine and detemir duration: 18-28,20- >24, 6-24 hours |
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HP 2010 for arthritis
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inc adults who have seen PCP for chronic joint Sx
inc those w/arthritis evidence based education |
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HP:2010 osteoporosis
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dec numb of adults hospitalized with vertebral fractures dt osteop
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