diabetes nursing

  1. what is the normal mmol/L Range for a normal reading?
  2. What is diabetes mellitus
    A multisystem disease related to abnormal insulin secretion, impaired insulin action, or both.
  3. Diatbetic ketoacidosis(DKA) is what?
    An acute complication of diabetes where fats are motabolized in the absence of insulin; Charecterized by hyperglycemia, ketosis, acidosis, and dehdration.
  4. Diabetic nephropathy is...
    a microvascular complication associated with the small blood vessels that supply the glomeruli of the kidney.
  5. diabetic neuropathy is...
    nerve damage that occurs because of metabolic derangements.
  6. The glycemic index(GI) is?
    the term used to describe a rise in BGL after consumming carbohydrates.
  7. Hyperosmolar hyperglycemic nonketotic syndrom (HHS) occurs when?
    A client can produce enough insulin to prevent diabetic ketoacidosis but not enough to prevent severe hyperglycemia, osmotic diuresis and extracellular fluid depletion.
  8. insulin resistance is?
    the body tissues not responding to the action of insulin
  9. lipodystrophy is?
    hypertrophy or atrophy of subcutaneous tissue
  10. What is prediabetes?Also known as impaired glucose tolerance(IGT) or impaired fasting glucose(IFG)?
    when a fasting or two hour plasma glucaose level is higher than normal but lower than considered diagnostic for diabetes.
  11. What is the somogyi effect?
    produce a decline in BGL in response to high insulin level, which causes rebound hyperglycemia and ketosis resulting in high BGL in the A.M.
  12. Type one diabetes...
    • most often in peopel under 30
    • peak onset usually between 11-13
    • usually in thin people
    • somewhat sporadic
    • produce NO insulin, or very little
  13. What are common symptoms of diabetes?
    polyuria, polydipsea, polyphagia, malais, fatigue, weight gain(2) or loss(1), healing, abdominal pain, diarreah, constipation, blurred vision, dizzy spells, numbness and tingling in extremities, muscle weakness, irritability, depreesion, apathy, decresed libido, erectile disfunction, vaginal infections and more.
  14. primay defects of type one and two diabetes are...
    • Type one-little to no insulin production
    • Type two-insulin resistance, decreased insulin production, and alterations in production adopokines.
  15. Type one is insulin required for all?
  16. Type 2 is insulin required for all?
    NO, some can be controlled strictly by diet change and oan take medication orally.
  17. what mmol/L is considered high enough for diagnostic for diabetes?
    11.1 mmol/L
  18. What is a Hb A1c test? (glycosylated hemoglobin)
    It determines the overall glucose control between 90 to 120 days.
  19. what are the for insulin?
    Rapid acting, regular acting, intermediate acting, and extended long acting.
  20. what is combination therapy?
    i is using more than on type of insulin to achieve optimal BGL control.
  21. Where is considered the best place to administer insulin and what other areas could be used aswell?
    The abdomen is consiedered the optimal area although the thigh, back of arms and buttocks are also acceptable injection sites.
  22. What special consideration should be taken with a diabetic client in regard to skin integrity?
    They are prone to prssure ulcers, infections, and they do not heal well expecially in extremities.
  23. what should be kept in mind about foot care?
    thier feet should be kept dry at all times and be inpected daily for tears and abraisions, they should NOT put moisturizers on their feet and should change socks daily.
Card Set
diabetes nursing
basic nursing and generally good to know info. on diabetes