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MARK KLIMEK LECTURE 5 DIABETES
– YOU DON’T METABOLIZE YOUR
GLUCOSE RIGHT. DUE T O LACK OF
INSULIN OR CELLS BEC OME
RESISTANT TO INSULIN
Mark Klimek Lecture 5 January 26, 2018 Diabetes Diabetes – you don’t metabolize your glucose right. Due to lack of insulin or cells become resistant to insulin.Type 1 Diabetes Vs. Type 2 Diabetes Type 1 oInsulin dependent oJuvenile onset oKetosis Prone (makes ketones) Type 2 oNon insulin dependent oAdult onset oNon ketosis prone S/s oPolyuria oPolydipsia (increased thirst) oPolyphagia (increased hunger) Treatment Type 1 – insulin, exercise, diet (in order of importance) Type 2 – diet, oral hypoglycemic, activity (obesity reduction) can be treated with diet alone.Diet Restrictions of type 2 diabetics Calorie restrictions 1200-1800 This study source was downloaded by 100000818022812 from CourseHero.com on 03-26-2021 20:00:53 GMT -05:00
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6 small feedings/day Insulin – LOWERS the blood glucose.Regular Insulin (humalin R, anything that ends in R) oOnset – 1 hour oPeak – 2 hours oDuration – 4 hours oClear (solution) CAN BE IV drip oShort rapid acting insulin (R stands for Rapid and Run) NPH – intermediate acting oOnset – 6 hours oPeak – 8-10 hours oDuration – 12 hours oCloudy (suspension) oN stands for Not so fast, Not in the bag (IV) Humolog, lispro – the most fastest acting insulin oOnset – 15 minutes oPeak – 30 minutes oDuration – 3 hours oGIVE with meals Lantus, Glargine – long acting insulin, so slow to absorb there is no esstential peak, they will not go hypoglycemic, only one you can give at bedtime oDuration – 12 – 24 hours ALWAYS check the expiration date on all insulins before opening, if you open an insulin it expires 30 days after opening Exercise potentiates (does the same thing) as insulin, if a diabetic is going to play soccer in the afternoon what should the nurse tell him to do? Take a carbohydrate snack to the game.When a diabetic is sick their insulin needs are going to go up, they have increased glucose. Sick diabetic has two problems; hyperglycemia and dehydration. This study source was downloaded by 100000818022812 from CourseHero.com on 03-26-2021 20:00:53 GMT -05:00
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