endocrine pt 2

DM1

100

What are the main 3 manifestations of DM

 POLYURIA, POLYDIPSIA, POLYPHAGIA

200

What are the other manfiestations of DM

Weight loss, enuresis, dry skin, blurred vision, fatigue, infections (usually in DKA)

300

What is the management for DM

1. Insulin therapy (by pump)

2. Glucose Monitoring: 80-120 mg/dl

3. Hemoglobin A1c

4. Meals and snacks with insulin administration

5. Exercise

6. How to manage hypoglycemia episodes

400

What should you do for sick days

Urine testing for ketones every 3 hours, frequent glucose monitoring, DO NOT WITHHOLD INSULIN

500

What is DKA

Extreme dehydration, electrolyte imbalance, acidosis, and elevated glucose

DM1

100

What is the treatment for DKA

Fluids (bolus), insulin (.1), electrolyte replacement, add dextrose if at 250-300

*glucose lowered slowly to prevent cerebral edema

200

What is the plan for DM

1. Nature of the disease

2. Meal planning

3. Insulin therapy (may be pump therapy)

4. Glucose monitoring

5. Long-term complications (nephropathy, retinopathy, neuropathy