DM1
What are the main 3 manifestations of DM
POLYURIA, POLYDIPSIA, POLYPHAGIA
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
What are the other manfiestations of DM
Weight loss, enuresis, dry skin, blurred vision, fatigue, infections (usually in DKA)
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
What is the management for DM
Insulin therapy (by pump)
Glucose Monitoring: 80-120 mg/dl
Hemoglobin A1c
Meals and snacks with insulin administration
Exercise
How to manage hypoglycemia episodes
What should you do for sick days
Urine testing for ketones every 3 hours, frequent glucose monitoring, DO NOT WITHHOLD INSULIN
What is DKA
Extreme dehydration, electrolyte imbalance, acidosis, and elevated glucose