Week 1: Glucose Regulation and Hormonal Regulation
Weekly Reading: Giddens: p. 124-125, 130 and Chapter 15; Linton & Matteson: p. 955,
958-960; Chapter 50; Silvestri: 403-406; 590-597; 609-613; Willihnganz/Clayton: 561-
575; 575-579; 593
LECTURE 1
Define:
The following terms are related to the concept of glucose regulation. Use your Giddens text to complete
the table. (Giddens chapter 14 and 15)
Term Definition & Other Information
Endocrine Gland (1 cliU rs O(’ WS, FSsue orar
o&ffl ‘j\m’ Seere¥es ' normonds
Hormone ] Cywmcafl 60%‘\0/”@ that stimulales
iarget Tissue Tk L
CN ‘i PIR H 0 y
Receptor Site 0 \OCMI()Y\ oNn _‘m SU ace of o cell
Wyre 1ormones o oeh rgain i 12 H-2 cel
Glucose regulation mss 0( Mfl‘ma\mng O(V,HMM DS Leve\]
Glycogen Syered Corv of QD 1n g 1Y and
MoschR_cells
Counter-regulatory m (C+t0n 0(/0t Normones Gscq\)mgl,
romencs 16 (050 Blod Su00¢_IE levels_ begn e
. hormone that Fo mmles 0o
molp ool SW)
Insulin resistance 0 8-\'&,12 4 Wh\c,h ‘H\Q CC“S
Gluconeogenesis (the
ACpONG (gl
What is the source of glucose inl gluconeogengkis?
l of insslin
"genesis" part of the
word means "to create")
nmmmoh\m,\sz
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Negative Feedback:
The most common type of feedback system for hormonal regulation is the negative feedback system.
o o e si
Describe how the pancreas participates in the pgallve feedback system within your body.
Identifying signs and symptoms
Faulty glucose regulation can result in both too much blood sugar (hyperglycemia) and too little blood
sugar (hypoglycemia). Complete the table below.
Condition Signs and Symptoms
Hyperglycemia (too much FIUSMd SK.'nl FVUFHJ mmh
blood sugar) LC'W\
Ine sed urme ovtpLT
Dm‘%\LmEnesiS
A 3516 ;
oH; 1
4& '7.'3 phorests
3
acesswehvn(w(
JEF
List the problems atcanca eahypergbce ic statein ebody
Ny Efi nlin O Uf\ Jscecttion df‘Cw mn‘1
List some problems that canl cause'a hrpoglycem:c state in the b
= Bt
, olucos? 1oy 058 43N nnrOdmyal lflfi(}CClClflM
Aubretionad Yo‘
| Lfi fime consequences of ryperglycemlgf)muphml& s | %
Risk Factors (Giddens p. 135)
paired glucose regulation can occur in any individual regardless of
(4] IjEM” “ifl"fi , ,0r (;2!}(
bfl
Explain why the following ulations would he more at risk for glu os regulation iss es
o Pregnant women: \}_+ OCIHY (Wfi' o
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" Older Aduls !gfi%g%igl N mggng Qfii ¢ !]SS“(:IGMC& R(‘(}‘\Ufl
. Rac1a}fi-:nic W_gmm_%&u___mdfimsfl'\bn 10)
Individual Risk Factors: lnSU |
. G etic Risk Factor: | )
"e agidee
Life
m
on Glactor
lcafIOI'lS
o
Condiys Kno
Identifying signs ami symptoms
" 4{’) e(led 9IUCOSQ regulanans
As a nurse you are responsible for a taking a history and gathering assessment data both completely and
accurately. Using your Giddens book, complete the following table to indicate important information to
consider when taking a history and gathering assessment data. Include how that information is related to
the concept of glucose regulation. In the last column, identify the appropriate healthcare provider to
report issues identified.
Category of 5% Important Data to Collect and its relationship to Glucose Regulation
Information to Collect
JLnow lo EN d JNOSS TTon
g iOnC s Cor chonic Cfl%f[Icfiag
wa+ % dof modlCM|ms7 ml S os&
ic pmd:spos
ol on(X8 olyan
nCcs %W
I S\Am 0 ON
Physical examination '
daa 2%% p,gm?p(am 5 Q wnp\\ca*wn
s Noerolog (¢ Mueroiny 15 damageo
\nduCqu oy W “9“‘99 gk
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Diagnostic tests: Important Data to Collect and its relationship to Glucose Regulation
Blood glucose Scre%‘fl and monHO’lV\Q
Qe Metabolsim
PWV‘CRS a ’UYQW /I’)Ob( 0[ WW
Glycosylated
hemogioon (A10) |A000 Plood “glucare Letel
C-peptide Mmsmfifi ol gelerming e quanity
of viesiduad insWlin prodocdion
it
Lipid analysis :
Casuremenis of Jofol CHOMSHVO’LH/%)
+ Tri0lutendds, From +hesgyresus the
m\%flw Jo/. ) m/cu/alfi
icro; umi;mria d@le)cf e K-ld d’mw
A Y\Aonile/ra\figm@ % in at-tsk P7
| ICIMH‘(/ in”dl)?fl%flm ) il 1
C-reactive protein
oo lesi CxTovaschlor disense
Clinical Management
Review health promotion strategies listed in your Giddens book, list some interventions that you would
implement and why they are important for preventing or managing glucose regulation.
Level of Prevention . Intervgptié)ZII'ith R;,tlizzzlle_ ¥
;
Primary Prevention
. EXCsSING
a]n W
QN h‘d W
eodi m )d
: ]
,'ey o /&/V%
1S oS
.
Secondary Prevention (Screening)
: i
gfl n% H Aalé @I’)Gf.
vl ok
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