EXAM 2
1: young age, cant make insulin, insulin dependent, genetic
2: older age, insulin resistant, caused by lifestyle
what is the difference between type 1 and type 2 diabetes
polyuria
polydipsia
polyphagia
what are the classic symptoms of diabetes
A1C because it is over the last 3 months
what is the gold standard for diagnosis of diabetes
alc: sugar, then rebound hypoglycemia
exercise: lowers it, check frequently, bring snacks
how does alc and exercise effect blood sugar
aspart: rapid, need food within 5-10 minutes
regular: peak in hr: food within 1 hr
why is knowing the onset and peak of different insulines so important
chart on the recorded lecture
what is important to remember about oral antidiabetes
stress= increase blood sugar
NPO= decrease blood sugar, check it often, notify provider if it starts getting high
what are some surgical considerations (effect on body, insulin needs?)
1. diaphoretic, LOC< slurred speech
2. hypoglycemia
3. check glucose
Scenario: 18-year-old male presents to the ER accompanied by his friend, who said he
started acting "weird" while they were playing basketball. Skyler told him he was light-
headed and was going to lie down on the cement court. His friend became nervous and
decided to bring him to the hospital.
Background: Skyler lives at home with his parents and siblings. He was diagnosed
with type 1 diabetes 6 months ago.
Assessment: The patient has not eaten anything for at least 5 hours. He is diaphoretic
and drowsy; wakes with stimulus, acting irrationally; and has slurred speech.
1. Which findings are significant?
2. What problem do you suspect?
3. What is the first action you should take?