Pellico: Ch. 30 \"Diabetes Mellitus\"

34 cards   |   Total Attempts: 188
  

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Cards In This Set

Front Back
"Juvenile Diabetes"
Type I
"Adult-onset Diabetes"
Type II
Explain cycle of Type I diabetes
Autoimmune response kills Beta Cells--->No Insulin-->High Glucose in blood exceeds kidney limits-->Glucose leaves in urine/water & electrolytes follows-->(osmotic diuresis)-->cells starving causes liver to release glycogen & breakdown fats--->more glucose & ketones in blood -->ketoacidosis
90-95% of all Diabetes is this type. Usually associated with ____
Type II / Obesity (80%)
Which type makes insulin? Which type doesn't?
Type II / Type I
Explain why stress increases abdominal weight gain?
Stress increases Cortisol release which increases Insulin release (Insulin inhibits the breakdown of stored glucose, fat, protein)
What are the 4 hormones that oppose insulin?
Glucagon (Alpha Cells), Cortisol (Adrenals), Epinephrine (Symp. NS), Growth Hormone (Pituitary)
Type II diabetes is usually treated with these 3 things
Diet, Exercise, Oral Meds (Hypoglycemics or Insulin)
What is the major physiological difference between Type I and Type II diabetes?
The pancreas makes some insulin in Type II and none in Type I
With Type II diabetes, what Insulin levels and Glucose levels would be seen? Type I?
High Insulin (eventually) and High Glucose / Low Insulin and High Glucose
How does the liver contribute to the dysfunction in Type II diabetes?
Produces glucose haphazardly (to blood stream) despite high levels already present
Besides obesity or race, you have a risk of developing Type II diabetes if your BP is ____, your HDL is ____, your triglycerides are _____, your age is ____
>= 140/90 / <=35 / >=250 / 45+
Ethnicities prone to Diabetes Mellitus (5)
African American, Asian American, Native American, Latino, Pacific Islanders
Diabetes Diagnostics: Positive fasting glucose level? Positive Random glucose level? Two-hour postload glucose tolerance test level?
>= 126 / >=200 / >=200
Why are elderly more prone to diabetes development?
Age-related elevation of blood glucose & coexisting illness (HTN, HD, Stroke, etc.) complicating management.