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40 Cards in this Set

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Glycogenolysis

When alpha cells of pancreas release glucagon. Prompts liver to break down its stored glycogen, turns into glucose, enters bloodstream and raises blood sugar.

Gluconeogenesis

The process that takes place in the liver that turns amino acids or glycerol into glucose

Type 1 diabetes

Called juvenile diabetes, caused by total absence of insulin and is the more serious from of the disease.

Type 2 diabetes

Called adult onset diabetes, condition when the insulin produced has decreased effectiveness of is not produced in a large enough quantity to fulfill the body's needs.

Glycosuria

Glucose in urine because the glucose is not used by cells and must eventually be excreted.

Polyuria

Frequent urination because glucose in urine attracts water.

Polydipsia

Excessive thirst because polyuria produces dehydration

Polyphagia

Fatigue, hunger, and excessive eating because cells are not getting the energy they need.

Ketosis

Indicates that muscle and fat are used for energy because of unavailability of glucose

Ketoacidosis

Result of ketosis that causes electrolytes loss and central nervous system depression; also called metabolic acidosis.

Oral Hyperycemic drugs(Adverse Effects)

Gastrointestinal (GI) upset:


- Nausea and fatigue


-Weakness and fatigue


-Dizziness

Oral Hypoglycemic drugs (Contraindications)

-Hypersensitivity (Reactions include rash and jaundice)


-Type 1 diabetes


-Severe liver or kidney disease


-Bowel problems


-Peptic ulcer

Oral Hyperglycemia drugs(Interactions)

Sulfonylureas and meglirjide drug repaglinide are inhibited by alcohol, anticoagulants, MAO inhibitors and certain drugs used to treat ulcers, high cholesterol, and bacterial or fungal infections. Certain high blood pressure and antigout drugs also inhibit sulfonylureas.

Lactic acidosis

Tare but serious complication that requires immediate hospitalization and is caused by a buildup of lactic acid in the blood, which causes pH and electrolyte imbalances.

Thiazolidinedione

increase use of glucose by improving sensitivity to insulin in muske and adipose tissue. Inhibit gluconeogenesis in the liver.


Insulin Sensitizers:


Piloglitazone(Actos),


Rosiglitazone(Avandia), Troglitazone(Rezulin)

Alpha-Glucosidase Inhibitors

Lower blood glucose levels by inhibiting the breakdown of simple carbohydrates and refined sugar. Delays absorption of glucose, glucose peak that normally happens after meals doesn't occur

Synthetic insulin

Mimics natural hormone insulin

Pramlintide

Mimics natural hormone amylin

Exenatide, sulfonylureas, and meglitinides

Increase insulin secretion

Biguanides

Decrease glucose production in liver

Diabetes mellitus

A disorder caused by lack of endogenous insulin that results in hyperglycemia

Diabetic neuropathy

Nerve disorders caused by diabetes resulting in numbness, pain, and weakness of hands and feet.

Autoantibody

Antibody produced by the immune system against one's own cells

Antibodies

Normally are produced when a foreign substance such as a pathogen enters the body

Amylin

Peptide of 37 amino acids that is secreted by the pancreas beta cells along with insulin in response to increasing blood glucose levels

Exocytosis

Discharge of substances contained in vesicles by fusion of the vesicular membrane with the outer cell membrane

GLUT

Glucose transport proteins

GLP-1

Glucagon-like peptide-1

Gastroparesis

Condition, also called delayed gastric emptying, in which the stomach muscles do not function properly

Adipose tissue

Fat

Glucagon

Hormone released by the alpha cells of the pancreas to increase plasma glucose concentration

Glycogen

The storage form of glucose in humans and animals

Hyperinsulinemia

High levels of insulin in the blood often associated with type 2 diabetes mellitus and insulin resistance

Incretins

Group of gastrointestinal hormones that increase the amount of insulin released

Islets

Group or island of cells

Lipodystrophy

Defective metabolism of fat

Postprandial

After a meal

Recombinant

Genetically engineered DNA

Suspension

Preperation in which undissolved solids are dispersed within a liquid

Glycated hemoglobin

HbA1c, form of hemoglobin that has glucose attached to it. 6 percent of less indicates good diabetic control. Performed every 3-6 months