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diet final
diet chapter 19
48
Nursing
Undergraduate 3
05/01/2010

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Term
if a person's blood glucose level (fasting) is greater than ___ they are diagnosed with diabetes
Definition
126mg/dl
Term
diabetes mellitus
Definition
group of conditions characterized by relative or complete lack of insulin secretion by beta cells of pancreas or defects of cell insulin receptors
Term
DM is usually characterized by
Definition
elevated fasting blood glucose and hyperglycemia
Term
macrovascular complications of DM
Definition
coronary artery disease
peripheral vascular disease
cerebrovascular accidents
Term
microvascularr complications of DM - nephropathy
Definition
1/2 of the people with type 1 DM develop chronic renal failure and chronic kidney disease
Term
microvascular complications of DM - neuropathy
Definition
decreased sensations of extremities, injury may occur without the patient's awareness, impaired healing may lead to gangrene and amputations
Term
retinopathy complications of DM
Definition
leading cause of blindness in north america
Term
long term complications of DM include
Definition
retinopathy, nephropathy, and neuropathy
Term
autonomic effects of DM
Definition
orthostatic hypotension, persistent tachycardia, gastroparesis, neurogenic bladder, impotence, impaired visceral pain sensation
Term
glucose intolerance in DM patients:
T1DM: __ to __% of all cases
T@DM: __% of all cases
Definition
5-10
90
Term
other types of DM
Definition
latent autoimmune diabetes of adults
gestational diabetes mellitus
impaired glucose tolerance
Term
symptoms of type 1 diabetes mellitus
Definition
sudden onset, excess hunger, hyperglycemia, polyphagia, polyuria, polydipsia
Term
idiopathic diabetes
Definition
no insulin produced, prone to ketoacidosis, no evidence of autoimmunity
Term
exogenous insulin required to maintain normal blood glucose levels in type __ diabetes
Definition
one
Term
types of insulin
Definition
rapid or short acting, intermediate acting, long acting
Term
types of insulin administration
Definition
fixed: conventional/standard therapy, flexible: intensive insulin therapy,
continuous subcutaneous insuline infusion
Term
administration of insulin and __ must be __ to avoid hypoglycemia
Definition
food
synchronized
Term
doses of insulin are adjusted to treat:
Definition
hyperglycemia, inconsistent carbs intake, modification in usual physical activity
Term
how does exercise affect DM
Definition
lowers blood glucose levels, assists in maintaining normal lipid levels, increases circulation
Term
patients with T1DM: exercise when blood glucose levels between ___ or about ___ minutes after meals
Definition
100-200mg/dl
30-60
Term
patients with T1DM: avoid exercising when blood glucose is ___
Definition
above 250mg/dl
Term
patients with T2DM who take oral hypoglycemic agents may be at risk of postexercise ____
Definition
hypoglycemia
Term
symtoms of type 2 diabetes mellitus
Definition
heart attack, stroke, neuropathic problems
Term
main problem patients with T2DM have
Definition
insulin resistance, failure of cells to respond to insulin produced by body and the pancreas loses ability to produce insulin
Term
2 strongest risk factos to getting DM
Definition
family history, obesity
Term
blood glucose levels can be monitored several ways
Definition
glycosylated hemoglobin and self-monitoring
Term
hypoglycemia
Definition
below normal values of blood glucose levels
Term
hypoglycemia can result from
Definition
too much insulin, skipping meals, and too much exercise without concomitant increase in food intake
Term
hypoglycemia symptoms
Definition
blood glucose drops below 50mg/dl
Term
diabetic ketoacidosis
Definition
life-threatening condition caused by insulin deficiency
Term
ketosis
Definition
abnormal accumulation of ketones
Term
hyperglycemia
Definition
causes osmotic duiresis, leads to dehydration, precipitates lactic acidosis, stimulates respiratory center
Term
fruity or acetone odor on breath
Definition
large amounts of ketone bodies present
Term
common causes of DKA
Definition
insufficient or interrupted insulin therapy, too much food, infection, trauma, surgery, emotional stress, myocardial infarction
Term
hyperglycemic hyperosmolar nonketotic syndrome (HHNS)
Definition
insulin deficiency results in severe hyperglycemia
Term
nonnutritive sweeteners approved for use by individuals with diabetes
Definition
saccharin, aspartame, acesulfame k
Term
illness increases ___ requirements in people with DM
Definition
insulin
Term
gastroparesis
Definition
delayed gastric emptying
-heartburn, nausea, abdominal pain, vomiting, early satiety, weight loss
Term
gastroparesis affects __ to __% of individuals with diabetes
Definition
20 to 30
Term
dietary treatment of gastroparesis
Definition
carb replaced with soft or liquid consistency foods, six small meals,
Term
newborns may have many problems including:
Definition
respiratory difficulties, hypocalcemia, hypoglycemia, hypokalemia, jaundice
Term
GDM develops in about __ to __% of all pregnancies
Definition
5 to 10
Term
GDM more frequent among ___
Definition
native americans, african americans, hispanic/latino american women, obese women
Term
__ to __% of women who had GDM usually develop T2DM
Definition
20 to 50
Term
type 2 DM increased __ fold over the past 20 years especially in ___ populations
Definition
30
ethnic minority
Term
about 30% of children with T2DM have a BMI of ___
17% have BMIs __
Definition
over 40
over 45
Term
clinical signs of risk for T2DM
Definition
acanthosis nigicans (chronic hyperinsulinemia), polycystic ovarian syndrome
Term
__ are more susceptible to T2DM
ration is
Definition
girls
1.7:1
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