Flashcards in 1229 Exam 4 Diabetic Mother Deck (32):
Decreased or zero insulin secretion
Goes Away after pregnancy
May not reoccur
May have BIG baby.
Type One Diabetes
no insulin produced
most often before age 15
often called juvenile diabetes
auto immune disorder causes disease
life long disease
Type Two Diabetes
Insufficient insulin production
ketoacidosis not common
adults after forty most often occur
may be called adult onset diabetes
may need insulin
Mature Onset Diabetes of the Young
impaired insulin production
ketoacidosis not common
strong family history of type two
same characteristics as type two
Complications of insulin
Poorly controlled Diabetes
Diabetic Ketoacidosis (TYPE ONE)
non ketotic coma (TYPE TWO)
fluid and electrolyte imbalance
Long term Complications
Peripheral Vascular Disease
Assessment for both Type one and two
Type One Assessment
Type Two Assessment
decrease insulin need
decrease glucose fluctuation
FBG > 126 mg/dl
comfirmed by repeat testing on another day or cusual or random glucose > 200mg/dl plus symptoms or glucose tolerance test > 200 mg/dl
Pathophysiology for Diabetes
cells within pancreas makes insulin
Type one-- autoimmune attack pancreas, get energy from breakdown of muslces and fat.glucose is osmo-hyperosmo is vascular space. kidneys get rid of sugar and fluid in hyperglycemia too much potassium loss through cells into urine
usually over weight, lifestyle factors, high fat diet, may or may not remain diagetes.
Most common races for GDM
(Caucasians have lowest rate.)
signs of diabetes
poly uria- dehydrated
polyfasia- increase in fluid and food intake
Long term damage
damage to small vessels in eyes
nerves in feet
what should the laboring mother's blood sugar be?
What does the A1C need to be?
signs of hypoglycemia
cold and clammy need some candy
signs of hyperglycemia
level of consciousness may change
What's the main concern about Glucagon?
Aspiration. **Turn on pt side.
know that giving cows milk to babies too early will make their risk of diabetes go up.
BC pills could change glucose levels
insulin requirements for mother go back up.
monitor mom with non stress test
watch for activity of fetus
when is blood sugar highest?
after you eat
Maternal and Fetal risk
pre conception counseling
risk assessment for mom-blood sugar control (how long mother has had diabetes makes more of a risk of poor management)
DKA carries 20% mortality rate of the fetus
Occurs later in pregnancy