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, DKA acetone and keytones increase! once treated expect postassium to drop! have K+
ready
Type 1 & 2 diabetes subacute presentation Fatigue, thirst, urination, weight loss
Most common in type 1
In type 2, it will be more vague symptoms and fatigue
Most common way type two diabetes is diagnosed Screening at risk individuals
Diabetes Mellitus insulin is not secreted adequately or tissues are resistant to its effects
Prediabetes Hgb A1C 5.7-6.4%
Prediabetes 2 hour gtt 140-199
Prediabetes fasting 00-125
Diabetes Random >=200
Diabetes Fasting >=126
Diabetes 2hr gtt >=200
Type 1 diabetes immune system attacks the beta cells in the pancreas to prohibit them from
releasing insulin
AUTOIMMUNE DISORDER
Usually presents in childhood
Genetic and environmental trigger
Insulin Deficiency
Type 2 diabetes usually presents in adults with HTN and obesity
Cells in the body do not react to the insulin
Genetic Predisposition
Insulin Resistance/Relative insulin deficiency
Medications that cause diabetes Glucocoriticoids
(Given in asthma and Crohn's Disease
dysuria subjective experience of painful or burnign on urination
Dysuria Cause inflammation
bladder/urethral infection
most common cause is lower UTI
Medications that can cause dysuria SSRI
opiates
Scopalamine