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Diabetes Mellitus

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AB
Diabetic KetoacidosisResults in acidosis, found in Type I diabetes
fasting glucoseblood sugar level after fasting for more than 8 hours
sulfonylureaoral antidiabetic medication
Type 2 Diabetesinsulin resistance and impaired insulin secretion
ketonebreakdown of fatty acids
hyperglycemiafasting glucose level greater than 126 mg/dl
hyperglycemic hyperosmolar nonketoticassociated with polyuria and severe dehydration
gestational diabetesonset during pregnancy
osmotic diuresisglucose excreted in urine accompanied by fluid and electrolyte losses
insulininhibits glycogenolysis
postprandialafter meal glucose level
ketone bodiesacids that disturb the acid-base balance
glycosylated hemaglobin testdetermines glucose levels over a period of 3 months
carbohydratesADA recommendation of 50-60%
fatADA recommendation of 20-30%
proteinADA recommendation of 10-20%
self-monitoring of blood glucoseenables client to adjust treatment regimen to obtain optimal glucose control
insulinsecreted by the beta cells of the islets of Langerhons
hypoglycemiaabnormally low glucose levels falling below 50 to 60 mg/dl
hypoglycemiasweating, tremor, tachycardia, palpatation, nervousness, and hunger
diabetic ketoacidosishyperglycemia, dehydration and electrolyte loss, and acidosis
Kussmaul respirationsoccurs with elevated ketone levels
insulin waningrise in glucose from bedtime to morning
Dawn Phenomenonnormal glucose until 3 am when level begins to rise
Somogi Effectnormal or elevated glucose at bedtime becoming hypoglycemic at 2-3 AM, then a subsequent increase in glucose
Rapid Acting Insulinonset 10-15 minutes, peaks in one hour
Regular Insulinonset 1/2 to one hour, peaks in 2-3 hours
Intermediate Acting Insulinonset 3-4 hours, peaks in 4-12 hours
Long Acting Insulinonset 6-8 hours, peaks in 12-16 hours
Glucagonadminstered sub-q or IM for clients that cannot swallow or who are unconscious


Dawn

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