HAVE to EAT while drinking alcohol o DM T1 Exercise Activity increase insulin

Have to eat while drinking alcohol o dm t1 exercise

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**HAVE to EAT while drinking alcohol** o DM T1: Exercise Activity increase insulin absorption May need snacks for PE, Recess, Sports o Hypo/Hyperglycemia HYPO Pale, weak, dizzy, sweating, shaking, irritable, HA, Stomach ache, change in personality, “feel low”, seizure HYPER Gradual onset of symptoms Might see the symptoms of DKA come on o Nursing Intervention: HYPOglycemia
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Blood sugar < 70 and symptoms: Immediate intake of simple sugars o Juice o 2 glucose tablets 15 minutes later, recheck Remains <70 – repeat simple sugars >80 – more substantial (fat, protein) snack (or meal within 30 minutes) Unable to eat or drink Honey or icing under tongue (only if still conscious) Glucagon injection 10-15 minutes recheck glucose More substantial snack or meal Consider transport to ER o DM T1: Education Patient and family will need to meet with a diabetes educator, nutritionist, if available Insulin Administration Nutrition Illness Exercise Blood glucose monitoring Signs & Symptoms/Treatment Hypoglycemia Hyperglycemia Coping and Support o DM Complications DKA, coma, death Microvascular Damage from excess glucose can lead to: Heart and blood vessel disease Neuropathy Kidney damage Retinopathy Foot injuries Pregnancy complications o Type 2 DM Pathophysiology and treatment for children with Type 2 is the same as for adults Focus heavily on decreasing weight and increasing physical activity Try to manage without medications Can use oral hypoglycemic agents (like Metformin ) and insulin Will often see acanthosis nigricans Disorders of Pituitary Function o HYPOpituitarism – talking about effects of the ANTERIOR Pituitary Diminished or deficient secretion of pituitary hormones Growth Hormone o Stimulates linear growth o Builds bone mineral density o Stimulates growth of all body tissues o Stimulates synthesis of proteins in Liver (including insulin-like growth factor) Thyroid-Stimulating Hormone Gonadotropins Adrenocorticotropic Hormone Melanocyte-Stimulating Hormone Prolactin Oxytocin Antidiuretic Hormone o **BLUE = POSTERIOR Pituitary
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Causes Idiopathic (most cases are idiopathic) CNS infection Infarction of pituitary gland CNS disease Tumors of pituitary or hypothalamus Brain trauma Chemotherapy S&S Classic Symptoms: o Growth Retardation o Short Stature o Delayed bone maturation and muscle mass X-rays of the hands can tell us where they are compared to chronological age S&S in INFANT Normal birth weight By 1 year below 3 rd percentile for height May be hypoglycemic (increased insulin sensitivity) Hyponatremic Seizures – low sodium/glucose Jaundice - prolonged Undescended testes with micro penis S&S in the CHILD Height below 3 rd percentile Overweight - **Still gain weight, just do not grow taller** Youthful facial features – cherubic look Higher pitched voices Delayed dentition Decreased muscle mass Delayed skeletal and sexual maturation Hypoglycemia due to increased insulin sensitivity Diagnosis
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