PN2 Exam 3 (1) Study Guide (Complete Solution Rated A)

PN2 Exam 3 (1) Study Guide N2 Exam 3 Type 1 Diabetes – an autoimmune dysfunction involving the destruction of beta cells, which produce insulin in the islets of Langerhans of the pancreas. Type 1 is an absolute lack of insulin secretion o Absence of insulin production; patient is dependent on insulin to prevent ketoacidosis and maintain life o Onset is frequently in childhood; usually ages 10-15 o This is forever o First sign is often Diabetic Ketoacidosis Type 2 is a combination of insulin resistance and inadequate insulin secretion to compensate o Often linked to obesity, sedentary lifestyle, and heredity o Onset is predominately in adulthood, generally after the age of 35 o Usually controlled with diet, exercise and oral hypoglycemics o Usually found by accident; the patient keeps coming back for a wound that won’t heal or repeated vaginal infections Signs and Symptoms: o Both Type 1 and Type 2: 3 Ps: polyuria, polydipsia, and polyphagia o Fatigue o Increased frequency of infections Type 1: o Weight loss o Bed-wetting, blurred vision o Enuresis (involuntary urination, especially in children at night) in children, nocturia in adults o Abdominal pain o Rapid onset Show Less