This document provides information on diabetes mellitus. It begins with objectives of reviewing the anatomy of the pancreas and classifications, signs, and treatments of diabetes. It then covers the anatomy of the pancreas and classifications of diabetes types I and II. Key differences and clinical manifestations are described for each type. Complications are identified including cardiovascular, renal, and neurological issues. The document concludes with nursing diagnoses and interventions for managing diabetes.
Diabetes is a chronic illness that requires continuing medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications.
Diabetes mellitus- Easy explanation for NursesSwatilekha Das
Diabetes mellitus- Easy explanation for Nurses-
Introduction
Related anatomy and physiology
Definition of Diabetes Mellitus
pathophysiology of Diabetes Mellitus
risk factors of Diabetes Mellitus
Clinical manifestations of Diabetes Mellitus
Diagnostic tests of Diabetes Mellitus
Management of Diabetes Mellitus
Diabetes a known disease to everyone. If you are a diabetic patient & also have a wound then you are the person who know the sufferings. Here, we discussed about the care regarding diabetes. Following these, your sufferings will reduce. Thanks
Diabetes is a chronic illness that requires continuing medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications.
Diabetes mellitus- Easy explanation for NursesSwatilekha Das
Diabetes mellitus- Easy explanation for Nurses-
Introduction
Related anatomy and physiology
Definition of Diabetes Mellitus
pathophysiology of Diabetes Mellitus
risk factors of Diabetes Mellitus
Clinical manifestations of Diabetes Mellitus
Diagnostic tests of Diabetes Mellitus
Management of Diabetes Mellitus
Diabetes a known disease to everyone. If you are a diabetic patient & also have a wound then you are the person who know the sufferings. Here, we discussed about the care regarding diabetes. Following these, your sufferings will reduce. Thanks
Myocardial infarction (MI), commonly known as a heart attack, occurs when blood flow decreases or stops to a part of the heart, causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw.
Back care consists of cleaning and massaging back (from shoulder to lower level of the buttocks) by using scientific form of required strokes for maximizing cutaneous stimulation, comfort and emotional relaxation as well.
Diabetes mellitus (DM) is a syndrome of chronic hyperglycaemia is due to one of two mechanisms:
Inadequate production of insulin , or
Inadequate sensitivity of cells to the action of insulin.
It affects more than 220 million people worldwide, and it is estimated that it will affect 440 million by the year 2030
"Diabetes" comes from the Greek word for "siphon", and implies that a lot of urine is made.
The second term,"mellitus" comes from the Latin word, "mel" which means "honey", and was used because the urine was sweet.
• The onset of type 1 diabetes may also be associated with sudden weight loss or nausea, vomiting, or abdominal pains, if DKA has developed.
Myocardial infarction (MI), commonly known as a heart attack, occurs when blood flow decreases or stops to a part of the heart, causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw.
Back care consists of cleaning and massaging back (from shoulder to lower level of the buttocks) by using scientific form of required strokes for maximizing cutaneous stimulation, comfort and emotional relaxation as well.
Diabetes mellitus (DM) is a syndrome of chronic hyperglycaemia is due to one of two mechanisms:
Inadequate production of insulin , or
Inadequate sensitivity of cells to the action of insulin.
It affects more than 220 million people worldwide, and it is estimated that it will affect 440 million by the year 2030
"Diabetes" comes from the Greek word for "siphon", and implies that a lot of urine is made.
The second term,"mellitus" comes from the Latin word, "mel" which means "honey", and was used because the urine was sweet.
• The onset of type 1 diabetes may also be associated with sudden weight loss or nausea, vomiting, or abdominal pains, if DKA has developed.
Nursing Management · Monitor blood sugar and use a sliding scale to treat high levels of glucose · Educate patient about diabetes · Examine feet .
Diagnosis involves measuring blood glucose levels. Ongoing specialized assessment and evaluation for complications are essential for diabetes management.
Diabetes mellitus refers to a group of diseases that affect how the body uses blood sugar (glucose). Glucose is an important source of energy for the cells that make up the muscles and tissues. It's also the brain's main source of fuel.
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Diabetes mellitus, often called simply diabetes, is a group of diseases that involve problems with your body's use of blood sugar (glucose). Glucose is an important source of energy for your cells, but if your blood sugar levels get too high, it can lead to serious health problems.
1. **Definition**:
- Diabetes mellitus is a chronic metabolic disorder characterized by elevated blood glucose levels due to insufficient insulin production or impaired insulin function.
2. **Types**:
- **Type 1 Diabetes**:
- Also known as insulin-dependent diabetes.
- Results from the immune system attacking and destroying insulin-producing cells in the pancreas.
- Requires lifelong insulin therapy.
- **Type 2 Diabetes**:
- Most common type.
- Develops when the body becomes resistant to insulin or doesn't produce enough.
- Managed through lifestyle changes, oral medications, and sometimes insulin.
- **Gestational Diabetes**:
- Occurs during pregnancy and usually resolves after childbirth.
3. **Symptoms**:
- Increased thirst and urination.
- Fatigue.
- Blurred vision.
- Unintentional weight loss.
4. **Complications**:
- Cardiovascular issues (heart disease, stroke).
- Kidney disease (nephropathy).
- Vision problems (retinopathy).
- Nerve damage (neuropathy).
5. **Prevention and Management**:
- Maintain a healthy weight.
- Regular physical activity.
- Balanced diet.
- Regular check-ups and monitoring.
Remember to consult a healthcare professional for personalized advice and management if you suspect you have diabetes or are at risk.
Diabetes mellitus, disorder of carbohydrate metabolism characterized by impaired ability of the body to produce or respond to insulin and thereby maintain proper levels of sugar (glucose) in the blood.
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
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Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
1. Khyber Medical University
• Subject: Adult Health Nursing
• Topics: Diabetes Mellitus
• Prepared by: Awal Sher Khan
2. Objectives
• At the end of this presentation the students will be
able to:
• Review of anatomy and physiology of endocrine
pancreases.
• Discuss classification of diabetes mellitus.
• Discuss etiology, pathophysiology, and clinical
manifestations of type-I and type-II DM.
• Identify differences between type-I and type-II DM.
• Describes complications of diabetes mellitus.
3. Objectives cont…
• Discuss medical diagnosis and medical
management for diabetes.
• Make nursing diagnosis and nursing
interventions for diabetes.
4. Anatomy & physiology of endocrine
pancreas
• The pancreas is a gland organ in the digestive and
endocrine system. It is both an endocrine gland
producing several important hormones, including
insulin, glucagon, and somatostatin, as well as an
exocrine gland, secreting pancreatic juice containing
digestive enzymes that pass to the small intestine.
• The part of the pancreas with endocrine function is
made up of approximately a million cell clusters
called islets of Langerhans.
5. Cont….
• There are four main cell
types in the islets. They
are classified by their
secretion: α cells
secrete glucagon, β cells
secrete insulin, δ cells
secrete somatostatin,
and PP cells secrete
pancreatic polypeptide.
6.
7. Diabetes mellitus
• Diabetes mellitus, describes a group of metabolic
diseases in which the person has high blood
glucose (blood sugar), either because insulin
production is inadequate or because the body's
cells do not respond properly to insulin or both.
• Patients with high blood sugar will typically
experience Polyuria (frequent urination), they
will become increasingly thirsty (Polydipsia) and
hungry (Polyphagia).
8. Classification of diabetes
There are three types of diabetes:
1) Type 1 Diabetes:
• The body does not produce insulin. Some
people may refer to this type as insulin-
dependent diabetes, juvenile diabetes,
or early-onset diabetes.
• People usually develop type 1 diabetes
before their 40th year, often in early
adulthood or teenage years.
9. Cont…
• 2) Type 2 Diabetes:
• The body does not produce enough insulin for
proper function, or the cells in the body do
not react to insulin (insulin resistance).
• Approximately 90% of all cases of diabetes
worldwide are of this type
10. Cont…
3) Gestational diabetes
• This type affects females during pregnancy.
Some women have very high levels of glucose
in their blood, and their bodies are unable to
produce enough insulin to transport all of the
glucose into their cells, resulting in
progressively rising levels of glucose
11. Type-I
• Etiology
• Diabetes type 1 is induced by one or more of the
following:
• Genetics
• Environmental
• Virus
• Autoimmune
12. Signs and symptoms
The classical symptoms of type 1 diabetes include:
• Polyuria (frequent urination).
• Polydipsia (increased thirst).
• Polyphagia (increased hunger).
• Fatigue.
• weight loss.
13. Pathophysiology
• The pathophysiology of type 1 DM is basically a
destruction of beta cells in the pancreas, regardless
of which risk factors or causative entities have been
present.
• Individual risk factors can have separate
pathophysiological processes to, in turn, cause this
beta cell destruction.
14. Cont…
• Still, a process that appears to be common to most
risk factors is an autoimmune response towards beta
cells, involving an expansion of autoreactive CD4+
and CD8+ T helper cells, autoantibody-producing B
cells and activation of the innate immune system.
15. Type-II
• Diabetes mellitus type 2 – formerly non-insulin-
dependent diabetes mellitus (NIDDM) or adult-onset
diabetes – is a metabolic disorder that is
characterized by high blood glucose in the context of
insulin resistance and relative insulin deficiency.
• Etiology:
• Genetic factors
• Ethnic origin
• Being overweight or obese
• Age
16. Signs and symptoms
The classic symptoms of diabetes are
• Polyuria (frequent urination),
• Polydipsia (increased thirst),
• Polyphagia (increased hunger), and weight loss.
• Blurred vision
• Itchiness
• Peripheral neuropathy
• Recurrent vaginal infections
• Fatigue
17. Pathophysiology
• Type 2 diabetes is due to insufficient insulin
production from beta cells in the setting of insulin
resistance.
• Insulin resistance, which is the inability of cells to
respond adequately to normal levels of insulin,
occurs primarily within the muscles, liver and fat
tissue.
• In the liver, insulin normally suppresses glucose
release. However in the setting of insulin resistance,
the liver inappropriately releases glucose into the
blood.
19. Diagnosis
• A fasting blood glucose test:
• (no food or liquids other than water) for eight hours.
• A normal fasting blood glucose level is less than 100
mg/dl.
• A diagnosis of diabetes is made if blood glucose
reading is 126 mg/dl or higher after two consecutive
blood tests.
• (In 1997, the American Diabetes Association lowered
the level at which diabetes is diagnosed to 126 mg/dl
from 140 mg/dl.)
20. Cont…
• A "random" blood glucose test taken at any
time.
• A diagnosis of diabetes is made if blood
glucose reading is 200 mg/dl or higher and
symptoms of disease such as fatigue,
excessive urination, excessive thirst or
unplanned weight loss.
21. Cont...
Glucose tolerance test :
• The test measure the body’s ability to store glucose
by removing it from blood.
• After fasting overnight,75g concentrated sugar-
water solution is given at selected intervals (hourly, 2
hourly or 3 hourly)
• Blood glucose is tested over several hours.
• In a person without diabetes, glucose levels returns
to normal in 2-3 hours.
• Diabetes is diagnosed if blood glucose levels are 200
mg/dl or higher.
22. Management
• Management of type 2 diabetes focuses on:
– lifestyle interventions,
– lowering other cardiovascular risk factors
– maintaining blood glucose levels in the normal range.
– Self-monitoring of blood glucose
• Lifestyle
• Exercise program
• A diabetic diet that promotes weight loss is important.
• Culturally appropriate education may help people with type 2
diabetes control their blood sugar levels
23. Conti…
Medications
• There are two categories of antidiabetic
agents:
• Oral medications (sulfonylureas, biguanides,
a-Glucosidase Inhibitors and
Thiazolidinediones.
• Injectable insulin. IDDM requires treatment
with insulin. Most types of insulin are
available in 100 u/1ml
26. Complications
• Diabetes doubles the risk of cardiovascular disease
(angina and myocardial infarction), stroke and
peripheral vascular disease.
• Diabetes also causes "microvascular“ complications
such as damage to the small blood vessels.
• Diabetic retinopathy, which affects blood vessel
formation in the retina of the eye, can lead to visual
symptoms, reduced vision, and potentially blindness.
27. Cont….
• Diabetic nephropathy, the impact of diabetes on the
kidneys, can lead to scarring changes in the kidney
tissue, loss of small or progressively larger amounts
of protein in the urine, and eventually chronic kidney
disease requiring dialysis.
• Diabetic neuropathy is the impact of diabetes on the
nervous system, most commonly causing numbness,
tingling and pain in the feet and also increasing the
risk of skin damage due to altered sensation.
• Diabetic foot ulcers that can be difficult to treat and
occasionally require amputation.
28. Conti…
• Diabetic Ketoacidosis in type 1DM due to lack
of insulin mobilization of fatty acids from
adipose tissue.
• Fatty acids levels ketone production by
the liver, characterized by blood sugar
(>250mg/dl), pH(<7.3) bicarbonate(<15mEq/L)
and presence of ketones in the urine.
29. Nursing diagnosis
• Imbalanced Nutrition Less Than Body Requirements
related to reduction of carbohydrate metabolism
due to insulin deficiency, inadequate intake due to
nausea and vomiting.
• Fluid Volume Deficit related to polyuria, decreased
fluid intake.
• Impaired Skin Integrity related to decreased sensory
sensation, impaired circulation, decreased
activity /mobilization, lack of knowledge of skin care.
30. Cont….
• Activity Intolerance related to weakness due to
decreased energy production.
• High risk of injury associated with decreased
sensation sensory (visual), weakness, and
hypoglycemia.
• Stress and anxiety related to disease.
31. Nursing interventions
• Administer insulin or an oral antidiabetic drug as
prescribed.
• Treat hypoglycemic reactions promptly by giving
carbohydrates in the form of fruit juice, hard candy,
honey or I.V. dextrose.
• Provide skin care, especially to the feet and legs.
• Assist the patient to develop coping strategies.
• Keep accurate records of vital signs, weight, fluid
intake, urine output, and caloric intake.
32. Cont…
• Monitor diabetic effects on the cardiovascular,
peripheral vascular, and nervous systems.
• Observe for signs of urinary tract and monitor the
patient’s urine for protein, an early sign of
nephropathy.
• Recommend regular ophthalmologic examinations.
• Teach the patient how to care for his feet.
• Teach the patient and the family how to monitor the
patient’s diet.
33. References
• "Diabetes Blue Circle Symbol". International Diabetes
Federation. 17 March 2006.
• Shoback, edited by David G. Gardner, Dolores
(2011).Greenspan's basic & clinical
endocrinology (9th ed.). New York: McGraw-Hill
Medical. pp. Chapter 17.
• http://www.npr.org/blogs/health/2012/06/21/1555
05445/how-to-spot-a-neglected-tropical-disease
• Williams textbook of endocrinology (12th ed.).
Philadelphia: Elsevier/Saunders. pp. 1371–1435.