Chapter 6, Problem 33R

nursing intervention for impaired glucose regulation in patients with gestational diabetes

Symptoms of diabetes include all EXCEPT       Extremity numbness or tingling   Excessive thirst   Slow-healing wounds   Infrequent urination

Describe the cause for the following diseases: Pituitary dwarfism, Diabetes mellitus, Graves' disease, Addison’s disease

What is the most common cause of mortality in those with diabetes mellitus? Question 76 options: a)  Renal failure b)  Myocardial infarct and stroke c)  Gangrene and sepsis d)  Autonomic and somatic neuropathy

A 21-year old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin in warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink. You get more information from A.M. and learn She had some readings on her glucometer which were reading ‘high’ She vomits almost every time she takes in fluid She hasn’t voided for a day but voided a great deal the day before She’s been sleeping long hours and finally woke up this morning and…

Charles is a diabetic with Alzheimer's disease and often forgets whether he has injected insulin or not.  He is in the emergency room today because of heart abnormalities and is found to have hyperinsulinemia.  You would also expect his blood analysis to show: hyperkalemia hypokalemia

In the initial stages of the disease, type 2 diabetes is treated with Metformin only, and insulin is not needed. In later years, insulin treatment is often needed. Please help explain the progression of the disease, describing the initial role of Metformin as a drug, and the eventual need for insulin.