glucose.doc - UNIT 15 Disorders of Glucose Metabolism...

This preview shows page 1 - 5 out of 32 pages.

UNIT 15Disorders of GlucoseMetabolismOriginally developed by:Frank MacDonaldRN, MN,Former Clinical Nurse Specialist, Diabetes Clinic,Foothills HospitalRevised (2000) by:Lorraine Anderson, PhDin consultation withAlison HusbandRN, MNRankin, Reimer & Then. © 2000 revised edition. NURS 461 Pathophysiology, University ofCalgary
Unit 17 Disorders of Glucose Metabolism1Unit 15 Table of ContentsOverview.........................................................................................................................4Aim..............................................................................................................................4Objectives....................................................................................................................4Resources.....................................................................................................................4Web Links....................................................................................................................5Pre-test for Glucose Metabolism..................................................................................6Section 1: Type 1 Diabetes..........................................................................................10Learning Activity#1..................................................................................................10Pathophysiology.........................................................................................................11Clinical Manifestations..............................................................................................12Evaluation and Treatment..........................................................................................12Section 2: Type 2 diabetes...........................................................................................16Pathophysiology........................................................................................................16Etiology......................................................................................................................16Clinical Manifestations..............................................................................................17Evaluation and Treatment..........................................................................................17Learning Activity #2..................................................................................................17Section 3: Acute Complications of Diabetes Mellitus...............................................19Hypoglycemia............................................................................................................19Diabetic Ketoacidosis................................................................................................20Hyperosmolar Hyperglycemic NonKetotic Syndrome (HHNKS)............................20Section 4: Chronic Complications of Diabetes Mellitus...........................................21Microvascular Disease...............................................................................................21Macrovascular Disease..............................................................................................21Preventing Long Term Complications—The Diabetes Control and ComplicationsTrial (DCCT).............................................................................................................22Learning Activity #3..................................................................................................23Section 5: Gestational Diabetes Mellitus (GDM).....................................................24Final Thoughts.............................................................................................................25References.....................................................................................................................26Glossary........................................................................................................................27Acronym List................................................................................................................27Checklist of Requirements..........................................................................................28Required Readings.....................................................................................................28Learning Activities.....................................................................................................28Answers to Learning Activities...................................................................................29Answers to the Pretest...............................................................................................29Answers to Learning Activity #1...............................................................................29Answers to Learning Activity #2...............................................................................30Rankin, Reimer & Then. © 2000 revised edition. NURS 461 Pathophysiology, University ofCalgary
2Unit 17 Disorders of Glucose MetabolismAnswers to Learning Activity #3...............................................................................31Rankin, Reimer & Then. © 2000 revised edition. NURS 461 Pathophysiology, University ofCalgary
Unit 17 Disorders of Glucose Metabolism3UNIT15Disorders of Glucose MetabolismDiabetes mellitusis a metabolic disease characterized by thepresence of hyperglycemia due to defective insulin secretion,insulin action or both. Diabetes mellitus is a serious health problemaffecting 5% of Canadians. American data indicates that diagnosisof diabetes may be underestimated by almost half, which maymean that up to 10% of Canadians are diabetic. In the UnitedStates, in 1995, diabetes mellitus was the seventh leading cause ofdeath. There is no available data on the cost of the disease inCanada, but American costs per year are about $98.2 billion—$44.1billion in direct costs and approximately $54.1 in indirect costs suchas work loss, disability and premature mortality.For further statistical information on diabetes mellitus statistics goto:Intelihealth.com?d=dmtContent&c=203032&p=~br,IHW|~st,21054|~r,WSIHW000|~b,| - costAlthough the means for controlling the primary metabolicderangement, hyperglycemia, are available, the continual balancingof blood glucose levels by patients over a lifetime is problematic.

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 32 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Fall
Professor
NoProfessor
Tags

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture