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Flashcards in 1229 Exam 4 Diabetic Mother Deck (32):
1

Diabetes Mellitus

Decreased or zero insulin secretion

2

Gestational Diabetes

During Pregnancy
Goes Away after pregnancy
May not reoccur
May have BIG baby.

3

Type One Diabetes

no insulin produced
most often before age 15
often called juvenile diabetes
auto immune disorder causes disease
life long disease

4

Type Two Diabetes

Insufficient insulin production
ketoacidosis not common
adults after forty most often occur
may be called adult onset diabetes
may need insulin

5

Mature Onset Diabetes of the Young

impaired insulin production
ketoacidosis not common
strong family history of type two
same characteristics as type two

6

Complications of insulin

hypoglycemia
lipodystrophy
somogyi effect
allergic reaction

7

Poorly controlled Diabetes

Diabetic Ketoacidosis (TYPE ONE)
hyperosmolar hyperglycemia
non ketotic coma (TYPE TWO)
fluid and electrolyte imbalance

8

Long term Complications

Angiopathy
Peripheral Vascular Disease
Retinopathy
Nephropathy
Neuropathy
Infections

9

Assessment for both Type one and two

(THREE P'S)
Polyphagia
polydipsia
polyuria
fatigue
increased UTI's

10

Type One Assessment

decreased weight
increased thirst
bed wetting
rapid onset

11

Type Two Assessment

increased weight
eye problems
slow onset

12

Treatment

Insulin
Oral Hypoglycemics
Diet
decrease insulin need
exercise
decrease glucose fluctuation

13

Diagnostic Test

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

14

Pathophysiology for Diabetes

cells within pancreas makes insulin

15

Type One

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

16

Type Two

usually over weight, lifestyle factors, high fat diet, may or may not remain diagetes.

17

Most common races for GDM

hispanic
african american
(Caucasians have lowest rate.)

18

signs of diabetes

poly uria- dehydrated
trigger thirst
polydyspnea
polyfasia- increase in fluid and food intake

19

Long term damage

damage to small vessels in eyes
nerves in feet
kidney
macro-vascular changes

20

what should the laboring mother's blood sugar be?

60-90

21

What does the A1C need to be?

5-6

22

signs of hypoglycemia

weak
shaky
clammy
confusion
cold and clammy need some candy

23

signs of hyperglycemia

flushed
warm
level of consciousness may change
nausea

24

GI problem

constipation
n/v
dehydration
acid reflux

25

What's the main concern about Glucagon?

Aspiration. **Turn on pt side.

26

Postpartum Care

know that giving cows milk to babies too early will make their risk of diabetes go up.
BC pills could change glucose levels

27

weening baby

insulin requirements for mother go back up.

28

Test Monitoring

monitor mom with non stress test
biophysical profiles
watch for activity of fetus

29

when is blood sugar highest?

after you eat

30

Maternal and Fetal risk

pre conception counseling
spontaneous abortions
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

31

Gestational

Occurs later in pregnancy

32

Pregestational

had diabetes before pregnancy