Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)

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Outline

Diabetes Mellitus

 

Definition/Etiology:

  • Endocrine disorder resulting in high blood sugar.
    • Type 1
      • Beta-cells in pancreas
    • Type 2
      • Not enough insulin/malfunctioning and/cells don’t respond normally 

 

Pathophysiology:

  • Type 1
    • Beta-cells in pancreas
  • Type 2
    • Pancreas
    • Liver 
    • Cells

 

Noticing: Assessment & Recognizing Cues:

  • 3 Ps
  • Weight loss
  • Blurry vision
  • Fatigue/ weakness

 

Interpreting: Analyzing & Planning:

  • Hemoglobin A1c
  • Random glucose
  • Fasting glucose
  • Oral G.T.T

 

Responding: Patient Interventions & Taking Action:

  • Insulin
  • Oral hypoglycemic meds
  • Lifestyle changes
    • Healthy eating
    • Physical activity

 

Reflecting: Evaluating Patient Outcomes:

  • Medication compliance
  • Checking blood glucose
  • Sick day management
  • Education for Lifestyle changes
    • Healthy eating
    • Physical activity

 

Linchpins (Key Points):

  • Type 1 = 1 cause = 1 treatment
  • Type 2 = several causes = more options of treatment

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