Diabetic Conditions
(Hop on one foot)
(Hop on one foot)
What does the condition DKA stand for?
Diabetic-Related Ketoacidosis
What is more prevelant in the US, type 1 or type 2 diabtes?
Type 2
What is an example of an assessment an OT might do with Jerry in a home health setting?
PASS or home health evaluation checklist
True or false: type two diabetics may take insulin
True
Is a lower extremity or upper extremity amputation more common?
Lower extremity
What is not being produced enough in Diabetic-Related Ketoacidosis and Hyperosmolar Glycemia State?
Currently, what percentage of the US population has diabetes?
12
What is the overall focus of primary care?
Prevention, health management, and education
Can diabetes be reversed?
There’s no cure for diabetes and no way to completely get rid of it. However, diabetes can be reversed in most people.
What stage in the recovery process would a prosthetic be appropriate?
Home health, when wound is healed, no edema or swelling, no pain from residual limb
What is released when fat is broken down?
Ketones
True or false, only children get diagnosed with type 1 diabetes
False
In acute care, is the OT going to take a top down or bottom up approach with Jerry?
Top-down
What is the difference between types 1 & 2?
Type 1: Autoimmune diseases can cause type one diabetes, such as when the immune systems attacks insulin producing cells in a patient’s pancreas
Type 2: Insulin resistance (occurs when muscles, fat, and liver do not respond to insulin the same as in a pt without diabetes).
What are two reasons why a diabetic would get an amputation?
Is Hyperosmolar Hyperglycemia State (HHS) more common for individuals with Type 1 or Type 2 diabetes?
Type 2 diabetes
List 3 populations that are at a higher risk for type 2 diabets
Minority populations, lower SES, middle to late aged adults
List 3 potential safety concerns for Jerry while he is in acute care?L
Line management, residual limb integrity, medication side affects, surgical precautions, PPE, hand hygiene
Name the risk factors of types one and two
Type one: Genetics, viruses, environmental factors
Type two: Obesity, sedentary lifestyle, diet, hormones, genetics, medications, etc.
What lower extremity parts are included in a major amputation?
Ankle, transtibial, transfemoral
What is the difference between Diabetic-Related Ketoacidosis and Hyperosmolar Hyperglycemia State?
There are ketones and blood acidity present in DKA and not in HHS. DKA does not produce enough insulin to prevent ketones being released. HHS produces some insulin to prevent ketones.
When thinking about the Diabetes belt, what 2 factors account for ⅓ of the increased risk for type 2 diabetes that scientists noticed in people living in the belt.
Obesity and inactivity
Why is foot care an important issue addressed in primary care for someone with type 2 diabetes?
Someone with type 2 diabetes is at a greater risk of diabetic neuropathy and can lead to developing ulcers.If the ulcers do not heal, it can be a diabetic emergence.
Name the signs and symptoms shared by types 1 and 2
Increased thirst or dry mouth, frequent urination, fatigue, blurred vision, unexplained weight loss, numbness or tingling in UE or LE, slow healing cuts or sores, frequent skin and/or yeast infections
What is a ray amputation?
Removes entire toe or finger along with corresponding metatarsal or metacarpal