Diabetes

Patients with this have kussmaul respirations.

Insulin is secreted by _________ cells.

Beta cells that produce insulin are located in the _______. More specifically the _________.

In type 1 diabetes the beta cells are destoyed by ________.

This type of diabetes is characterized as "insulin resistence" and impaired ______cell functioning.

Type 2 diabetes is treated in a stairstep fashion, describe it...

What race and gender are most at risk for diabetes?

______ is an anabolic, or storage hormone.

The majority of a diabetics carb intake should come from_______ _______.

Production of new glucose form amino acid and other substrates is called-______.

Name the pancreatic hormone secreted by the alpha cells in the Islet of Langerhans.

These diagnostic findings point to _______.Blood glucose of 300-800mg/dL, decreased HCO3-0-15mEq/L and low pH- 6.8-7.3.

Human leukocyte antigen types(HLA's) and evidence of an auto immune respone is found in type___ diabetes.

Postprandial hyperglycemia happens ______ meals.

Glucosuria happens when BG levels reach ____-____, and the kidneys do not reabsorb all the filtered _____.

What is the most important "sick day" rule?

Lantus and Levemir are _____ acting insulins and have an onset of ___hr and a duration of ___hours.

The breakdown of stored glucose is called________.

DKA affects - ________ diabetics.
HHNS affects-_________diabetics

Name the 5 componets of diabetic management.

Meal plans for diabetics focus on _____, _____, and _____.

___________ acting insulin may be split into two doses/day and produces a basalar effect. It's duration is 16-20hours with a peak of 4-12 hours.

A diabetic caloric intake should include ___-___% carbohydrates, 20-30% _____ and ___-___% _____.

Short acting or Regular insulins have an onset of ____-____hr, a peak of ___-___ hrs and a duration of 4-6 hours.

Cholesterol intake should be limited to less than ___mg/day.

Which fiber (soluble or insoluble) is better and why?

T or F
Clients with diabetes should exercise whenerver they have time and for as long as they want.
True False

When rehydrating a DKA patient, infuse .5-1L/hr of .9NaCl for 2-3 hrs then .45/NaCl.for a few liter/hrs, finishing up with ______ when the blood sugar reaches 300mg/dL to prevent fast decline in blood glucose.

Which (Human or animal) sources have the shorter duration of action?

Clients taking this type of insulin should not postpone eating for more than ____-____mins to avoid hypoglycemia.

This type of insulin is the only one approved for IV administration.

These insulins have a pH of 4 and cannot be mixed with any other insulin.

Morning hyperglycemia results from nocturnal surges of _______ hormone secretion.

Basal rate of insulin is usually between ___ to___ units/hr.

What are the 1st gen. sulfonylureas?

What are the three main causes of DKA?

These S/S are indictative of ________ and ________.
Polyuria, polydipsia, blurred vision, weakness, H/A, orthostatic hypotension, rapid weak pulse, anorexia, nausea, vomiting, abdominal pain, fruity breath, lethargia, and kussmauls respirations.

2nd gen. Sulfonylureas are Glipizide,Glyburide, and amaryl. What do they do?

This drug works by inhibiting the production of glucose by the liver, increases the cellular sensitivity to insulin, decreases the hepatic synthesis of cholesterol.

This inhibitor must be taken with the first bite of food to be effective. It delays absorption of complex carbs, slowing the entry of glucose into the blood stream.

If a vial of insulin will be used within ___ month(s) it can be kept at _____ temp.

A patient with dehydration caused by DKA(polyuria) can loose up to ___ liters of fluid in a 24hr period. They also loose large amounts of these electrolytes, ____ and _____.

Treatment of DKA with an insulin drip should not be stopped till the client can _____ and ______ insulin therapy has been resumed.

T or F
When mixing an insulin drip, the line should be primed and the first 50ml should be discarded.