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Nursing Care Of Patient With Diabetes Mellitus – Questions With Fully Explained Solutions

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Nursing Care Of Patient With Diabetes Mellitus –
Questions With Fully Explained Solutions

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Practice questions for this set


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- physically inactive
- 1st degree relative w/DM
- high risk ethnic group
- delivered baby > 9 lbs
-hypertension
- HDL < 35 &/or triglycerides > 250
- A1C > 5.7%
- CVD
- insulin resistance



Choose an answer



1 diabetes screening risk factors 2 diabetes



3 type 1 diabetes onset 4 pre-diabetes facts



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Terms in this set (118)

,diabetes a life long chronic, progressive disease, but is
manageable


most people with diabetes can live a appropriate diabetes therapy and self management
normal life with


goal of diabetes: to optimize glycemic control and minimize
complications


diabetes fast facts - total: 38.4 million people have diabetes (11.6% of
the U.S population)
- diagnosed: 29.7 million people, including 29.4
million adults
- undiagnosed: 8.7 million people (22.0% of adults)


8th leading cause of death in the United States


pre-diabetes facts - total: 97.6 million people aged 18 years or older
have pre diabetes (38.0% of the adult U.S population)
- 65 years or older: 27.2 million people aged 65
years or older (48.8%) have pre-diabetes


having diabetes, can cause - rate of a heart attack 1.8 times higher
- rate of stroke 1.5 times higher
- it's the #1 cause kidney failure and non-traumatic
lower-limb amputations (disease causing)


glucose control is a balancing act - balance blood glucose level
- hypoglycemic= low blood glucose
- increases of hypoglycemic: food, stress, hormone


- exercise to lower, and diet


chronic multi system disease due to - defects in insulin production
- defects in insulin action
- both

, 4 clinical classifications of DM - type 1 diabetes
- type 2 diabetes
- other specific types
- gestational diabetes


diagnostic criteria for DM - fasting blood glucose > 126 mg/dL * (no eating)
- random serum glucose > 200 mg/dL (random, not
fasting) (having symptoms of hyperglycemia)
- glucose tolerance test > 200 mg/dL * (2 hr post 75
gram load (non pregnant))
- HbA1C > 6.5% (5.7-6.4% range for pre-diabetes)



HAS TO HAPPEN ON 2 OCCASIONS


with a glucose tolerance test you have to fast a minimum of 8 hrs, then you get
concentrated glucose solution


type 1 diabetes hallmark complete or near lack of insulin


type 1 diabetes onset childhood


type 1 diabetes risk factors - age
- family


type 1 diabetes prevalence 5-10%


clinical manifestations of type 1 - always tired
diabetes - polyuria
- sudden weight loss
- wounds that won't heal
- sexual problems
- always hungry
- blurry vision
- numb or tingling hands or feat
- always thirsty
- vaginal infections

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