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Timby Ch. 51 Caring for Clients with Diabetes Mellitus. Exam Study Guide.

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Timby Ch. 51 Caring for Clients with Diabetes Mellitus. Exam Study Guide. Diabetes mellitus (DM) - AnswerA metabolic disorder of the pancreas, affects carbohydrate, fat, and protein metabolism; the 7th cause of death in the US type 1 diabetes mellitus (IDDM) - AnswerCharacterized by an absence of insulin production by the beta cells in the islets of Langerhans of the pancreas. Onset is more likely in childhood and adolescence, but can occur at any age type 2 diabetes (NIDDM) - AnswerCharacterized by insulin resistance or insufficient insulin production; most common in aging adults Hyperglycemia - Answerelevated blood glucose level Carries glucose into body cells as their preferred source of energy; promotes the livers storage of glucose as glycogen; inhibits the breakdown of glycogen back into glucose - Answer3 functions of insulin Lipolysis - AnswerBreakdown of fat Ketones - Answermetabolic by products of fat metabolism Ketoacidosis - AnswerA form of metabolic acidosis that occurs when ketones accumulate in the blood because of the total cessation of insulin production Insulin resistance - Answerdecreased sensitivity to insulin at the tissue level glycosuria - AnswerGlucose in the urine that appears when blood glucose level rises above 180mg/dL Polyuria - AnswerExcessive urine production Polydipsia - AnswerExcessive thirst Polyphagia - AnswerEats more Ketonemia - AnswerIncreased ketones in the blood Kussmaul's respirations - AnswerFast, deep, labored breathing that's common in ketoacidosis Ketoacidosis (DKA) - AnswerMore common in people with type 1 diabetes

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Timby Ch. 51 Caring for Clients with
Diabetes Mellitus. Exam Study Guide.


Diabetes mellitus (DM) - Answer✔A metabolic disorder of the pancreas, affects carbohydrate,
fat, and protein metabolism; the 7th cause of death in the US
type 1 diabetes mellitus (IDDM) - Answer✔Characterized by an absence of insulin production
by the beta cells in the islets of Langerhans of the pancreas. Onset is more likely in childhood
and adolescence, but can occur at any age
type 2 diabetes (NIDDM) - Answer✔Characterized by insulin resistance or insufficient insulin
production; most common in aging adults
Hyperglycemia - Answer✔elevated blood glucose level
Carries glucose into body cells as their preferred source of energy; promotes the livers storage of
glucose as glycogen; inhibits the breakdown of glycogen back into glucose - Answer✔3
functions of insulin
Lipolysis - Answer✔Breakdown of fat
Ketones - Answer✔metabolic by products of fat metabolism

Ketoacidosis - Answer✔A form of metabolic acidosis that occurs when ketones accumulate in
the blood because of the total cessation of insulin production
Insulin resistance - Answer✔decreased sensitivity to insulin at the tissue level
glycosuria - Answer✔Glucose in the urine that appears when blood glucose level rises above
180mg/dL
Polyuria - Answer✔Excessive urine production

Polydipsia - Answer✔Excessive thirst
Polyphagia - Answer✔Eats more

Ketonemia - Answer✔Increased ketones in the blood

Kussmaul's respirations - Answer✔Fast, deep, labored breathing that's common in ketoacidosis
Ketoacidosis (DKA) - Answer✔More common in people with type 1 diabetes

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