Beruflich Dokumente
Kultur Dokumente
Module 4
(diabetes)
Objectives
Objectives
Hyperglycemia and
Hypoglycemia
See handout for
symptoms
Education is
essential
Diabetic Ketoacidosis
DKA
Uncontrolled hyperglycemia
Metabolic acidosis
Symptoms
Treatment Goals
#1 Goal:
Medications to
treat Diabetes
Antidiabetic Drugs
Biguanides
Meglitinide Analogs
Thiazolidinediones
DPP-4 Inhibitors
Insulin
Insulin Secretagogues
Second-Generation
Sulfonylurea
Examples
Glipizide
Meglitinide Analogs
Examples
Repaglinide
Biguanides
Examples
Metformin
dinner
Glucophage XL 500-2000mg Daily, before breakfast
Thiazolidinediones
Examples
Pioglitazone
DPP-4 Inhibitors
Examples
Sitagliptin
Insulin
Injectable Insulin
Insuli Onset Peak
n
Rapid
Acting
Short
Acting
15-20
mins
30 mins
Durati
on
30 mins-3
hrs
2-5 hrs
3-5 hrs
4-12 hrs
16-24 hrs
5-8 hrs
Exp concentrated
Exp Levemir
Long Acting
2-4 hrs
None
24 hrs
Rapid Acting
Short Acting
Intermediate Acting
Long Acting
Insulin dosing
Multiple-component
Insulin Dosing
Intensified regimens
Sub Q injections
Sliding scale
http://diabetesinstitute.pitt.edu/files/Re
gHumulinISS.pdf
Factors Influencing
Insulin Absorption
Acute
Effects from
Diabetes
The risk for
death in diabetic
Acute complications
Chronic effects
Macrovascular
Chronic Effects
Microvascular
Chronic effects
Microvascular
Chronic
Effects from Diabetes
Peripheral Neuropathy
Self-Management
Sick Days
Exercise Therapy
Surgery
Hospitalization
Hypo/hyperglycemia
Diet changes
NPO whether to give insulin
Clear Liquids
Tube feeding
Hygiene issues
Health
Promotion
Nursing Diagnosis