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ATI – Diabetes – Nursing Study Notes and Practice Questions

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This document provides focused ATI-based study material on Diabetes, covering pathophysiology, signs and symptoms, nursing interventions, insulin types, and patient education. It includes concise notes and practice questions to reinforce critical concepts for nursing students preparing for ATI exams or NCLEX-style questions.

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Diabetes (ATI)


DM (Diabetes mellitus) - *answers * Characterized by chronic hyperglycemia due to inadequate
insulin secretion and/or the effectiveness of endogenous insulin (insulin resistance).



DM type I - *answers * An autoimmune dysfunction involving the destruction of beta cells of
the pancreas. Immune system cells and antibodies are present in circulation may also be
triggered by certain genetic tissue types or viral infections.

Usually occurs at a young age.



DM type II - *answers * A progressive condition due to increasing inability of cells to respond to
insulin (insulin resistance) and decreased production of insulin by the beta cells.

It often occurs later in the clients life due to obesity, inactivity, and heredity.



Diabetic screening - *answers * Risk factors - obesity, hypertension, inactivity, hyperlipidemia,
cigarette smoking, genetic history, elevated C - reactive protein (CRP), ethnic group, and women
who have delivered infants weighing more than 9 pounds.



American diabetes Association (ADA) - *answers * Recommends screening clients who have
BMI >24 and age >45 years, or if a child is overweight.



Teach client - *answers * Exercise and good nutrition; total fat intake of 30% of total daily
calories; low saturated fats; weight loss; add omega-3 fatty acids and fiber in their diet.



Risk factors - *answers * Obesity, inactivity, high triglycerides, HTN may lead to development of
insulin resistance and type II diabetes.



Secondary causes of diabetes - *answers * Pancreatitis and Cushing's syndrome

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