Treatment for Insulin Dawn Phenomenon
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adjust insulin timing or increase dose
DKA symptoms
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•Polyuria
•Polydipsia
•Altered LOC
•Kuss Maul respirations
•Metabolic Acidosis with anion gap
•Hyperglycemia
•Hyperosmolality, dehydration
Primary Hypothyroidism labs
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TSH: high
T3/T4: low
Ways to monitor blood glucose
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• Self-monitoring of blood glucose
• Continuous glucose monitoring
hypothalamic-pituitary-thyroid axis (HPT axis)
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Hypothalamus releases TRH which causes release of TSH from the anterior
pituitary that releases T4 and T3 from the thyroid which increases
, metabolism
Hypoglycemia symptoms
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• Shakiness
• Sweating
• Nervousness
• Dizziness
• Weakness
• Irritability
• Hunger
• Headache
• Anger
• Staggering gait
• Crying
• Confusion
• Blurred vision
• Slurred speech
Autonomic neuropathy GI symptoms
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dysphagia, bloating, nausea and vomiting, diarrhea, constipation, loss of
bowel control
Risks for Saturated solution of potassium iodide (SSKI) p.o.
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, Risk of iodism: fever, rash, mouth sores, GI distress
Type of DM at risk for HHS
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Only DM2
Muscular symptoms of Sensorimotor neuropathy
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muscle weakness (not fatigue), atrophy, balance problems, ataxic gait
Types of intermediate acting insulin
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NPH (Humulin N, Novolin N)
DKA
Give this one a try later!
Give this one a try later!
adjust insulin timing or increase dose
DKA symptoms
,Give this one a try later!
•Polyuria
•Polydipsia
•Altered LOC
•Kuss Maul respirations
•Metabolic Acidosis with anion gap
•Hyperglycemia
•Hyperosmolality, dehydration
Primary Hypothyroidism labs
Give this one a try later!
TSH: high
T3/T4: low
Ways to monitor blood glucose
Give this one a try later!
• Self-monitoring of blood glucose
• Continuous glucose monitoring
hypothalamic-pituitary-thyroid axis (HPT axis)
Give this one a try later!
Hypothalamus releases TRH which causes release of TSH from the anterior
pituitary that releases T4 and T3 from the thyroid which increases
, metabolism
Hypoglycemia symptoms
Give this one a try later!
• Shakiness
• Sweating
• Nervousness
• Dizziness
• Weakness
• Irritability
• Hunger
• Headache
• Anger
• Staggering gait
• Crying
• Confusion
• Blurred vision
• Slurred speech
Autonomic neuropathy GI symptoms
Give this one a try later!
dysphagia, bloating, nausea and vomiting, diarrhea, constipation, loss of
bowel control
Risks for Saturated solution of potassium iodide (SSKI) p.o.
Give this one a try later!
, Risk of iodism: fever, rash, mouth sores, GI distress
Type of DM at risk for HHS
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Only DM2
Muscular symptoms of Sensorimotor neuropathy
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muscle weakness (not fatigue), atrophy, balance problems, ataxic gait
Types of intermediate acting insulin
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NPH (Humulin N, Novolin N)
DKA
Give this one a try later!
