Goodwin College NUR 110 Diabetes
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3 major classifications for diabetes
Ans: Type 1, Type 2, and gestational
Type 1 diabetes clinical characteristics
Ans: Onset usually under 30
Recent weight loss
Positive islet cell of GAD
no endogenous insulin
Ketosis prone when insulin absent
Acute complication of hyperglycemia in Type 1
Ans: diabetic ketoacidosis
Type 2 diabetes clinical characteristics
Ans: Onset usually over 30
usually obese at diagnosis
no islet cell antibodies
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decrease in endogenous insulin or increased with insulin
resistance
ketosis uncommon (except in stress or infection)
Gestational diabetes clinical characteristics
Ans: onset usually in 2nd or 3rd trimester
Due to hormones secreted by the placenta, which inhibit the
action of insulin
Risk for perinatal complications such as macrosomia
(abnormally large babies)
Treated with diet and if needed insulin
Oral glucose screening test done at ______ weeks of gestation for
diabetes
Ans: 24-28
Insulin functions in cell
Ans: transports and metabolizes glucose for energy, stimulates
storage of glucose, signals liver to stop release of glucose,
enhances storage of dietary fat in adipose tissue, accelerate s
transport of amino acids into cells, facilitates the transport of K
into cells, inhibits breakdown of stored glucose, protein and fat
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