Diabetes Flashcards
(40 cards)
what is diabetes insipidus
- polyuria & polydipsia leading to dehydration due to low ADH
what is SIADH
- opposite of DI
- oliguria, no polydipsia
what is DM
- error of glucose metabolism
what are symptoms of DI
- polyuria
- polydipsia
- polyphagia
what is the treatment for DM1
- diet
- insulin **
- exercise
what is the treatment for DM2
- diet**
- oral hypoglycemics
- exercise
what is the best diet modification for DM
- cal restriction
- then 6 small meals a day
what is the fnxn of insulin
- lowers BG
what are 4 types of insulin
- insulin R
- intermediate
- long acting
- rapid acting
what is the onset, peak, and duration of insulin R
- onset: 1 h
- peak: 2h
- duration: 4h
what is the onset, peak, and duration of NPH
- onset: 6 hr
- peak: 8-10h
- duration: 12h
what is a type of intermediate insulin
NPH
what is a type of rapid insulin
- humalog/lispro
what is the onset, peak, and duration of humalog/lispro
- onset: 15 min
- peak: 30 min
- duration: 3h
humalog/lispro is given when?
- with meals
what is a type of long acting insulin
- no peak
- duration: 12-24 hr
what is the one type of insulin that can be given IV
regular
what is key to do before giving insulin
- check the expiration date
what is the one thing that invalidates the manufacturer’s expirary date on insulin?
- opening it –> becomes 30 days after
what impact does exercise have on BG
- decreases it
what impact does illness & stress have on BG
- increases it
what is important for a person with DM to do when theyre sick
- still take insulin, even if not eating –> stress & illness increases BG
- drink water (r/o dehydration
- stay active (to decrease BG)
what are 3 complicati9ons of DM
- hypoglycemic shock
- DKA
- HHS
what can cause hypoglycemic shock
- not eating enough
- too much insulin
- too much exercise