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GROUP N AME

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 An endocrine disorder; a group of metabolic
diseases characterised by elevated levels of
glucose in the blood resulting from defects in
insulin secretion, insulin action, insulin
receptors or any combination of conditions.

OR EASILY PUT….

 Cells are swimming in glucose (their food) but


starving to death because of insulin issues.
 Type I: Destruction of beta cells->
decreased insulin production->uncontrolled
glucose production-> HYPERGLYCEMIA

 Type II: Decreased sensitivity of insulin


receptor to insulin-> less uptake of glucose->
HYPERGLYCEMIA
REMEMBER the concept
~Sugar Into The Cells~
Type 1 – IDDM

 LITTLE to NO Insulin Type 2– NIDDM


 20-30% Hereditary  some insulin produced

 Ketoacidosis  90% hereditary

 Other types include Secondary Diabetes:

› Genetic defect beta cell or insulin


› Disease of pancreas  Gestational
› Drug/chemical induced
› Infections-pancreatitits › overweight; risk for
Type 2
 Classic 3 P’s
 Family Hx diabetes
 Fatigue
 Race/Ethnicity
 Body Weakness
 Age
 Weight Changes
 Hypertension
 Visual Changes
 Hyperlipidemia
 Slow Wound Healing/
 Hx of Gestational Diabetes
Recurrent Skin infections
Mellitus
 Laboratory Tests-> FBS/fasting
 Other signs and symptoms of
blood sugar >7.0 mmol/L
diabetes complications
Chronic
MACROVASCULAR Acute
 Cardiovascular disease
 Cerebrovascular disease

 Diabetic ketoacidosis
MICROVASCULAR
 Retinopathy (vision)  Hyperglycemic-
problems hyperosmolar-nonketotic
 Diabetic neuropathy syndrome
 Diabetic nephropathy
 Hypoglycemia from too
 Male erectile dysfunction much insulin or too little
glucose
Diabetes can be managed or controlled by:

 Educating patient about diabetes


 Exercising regularly
 Eating a healthy well balanced diet
 Avoiding smoking (people with diabetes who smoke
are at a higher risk of developing
cardiovascular complications).
 Avoid alcohol
 Pharmacologic Therapy

Type One: Insulin Injections given


subcutaneously
Type Two: Oral Medication, such as Metformin
Hot + Dry = Sugar High

Cold n Clammy= Need


Some Candy
And For All You
Visual Learners,
Heres A Treat:
http://www.youtube.com/wat
ch?
v=NnIWDxuZKUo&feature=r
elated

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