A | B |
type 1 DM | B cells do not produce any insulin |
type 2 DM | B cells produce insufficient insulin |
diet & lifestyle changes | first line of tx for type 2 DM |
insulin | treatment for type 1 DM |
oral meds | treatment for type 2 DM |
70 - 100 | normal BG level |
BG levels at consistent level | goal of DM treatment |
obesity, heart disease | comorbidities of DM |
hyperglycemia | BS greater than 126 mg/dl |
hypoglycemia | BS less than 50 mg/dl |
insulin | hormone which is glucose transporter |
macroangiopathy | large vessel damage from spiking BS levels |
microangiopathy | capillary vessel damage from spiking BS levels |
nerve damage | result of metabolic changes from spiking BS levels |
onset | time med starts to work |
peak | time med has greatest effect |
duration | length of time med has effect |
30 days | insulin expiration at room temp storage |
90 days | insulin expiration in frig storage |
aspirin | cause BS to decrease |
Beta Blockers | cause BS to increase |
clear solution | fast acting |
cloudy solution | intermediate or long acting |
rapid acting | adm within 15 min of meal |
fast acting | adm within 1 hour of meal |
intermediate acting | peak 6 hours |
slow acting | adm same time every 24 hours |
aspart, lispro | rapid acting insulins |
regular | short acting insulin |
NPH | intermediate acting insulin |
Lantus, Ultralente | slow acting insulins |
combination insulins | maintain BS now & later |
clear to cloudy | sequence for drawing up insulins |
biggest AE of insulin | hypoglycemia |
glucagon | antihypoglycemic agent |