OBJECTIVES

 

A Touch of Sugar: Diabetes Update

Objectives and content outline

 

The attendee will be able to:
1) Differentiate between the various types of diabetes.
·                          Type 1A
·                          Type 1B
·                          Latent autoimmune diabetes
·                          Type 2
·                          Maturity onset diabetes of the young (MODY)
·                          Gestational diabetes
·                          Secondary diabetes
 
2) Discuss the multifactorial causes of type 1A and type 2 diabetes.
·                          Genetic influences
·                          Environmental influences
o                            vitamin D deficiency
o                            the hygiene hypothesis
o                            obesity
o                            lack of exercise 
o                            cow's milk
o                            hypertension
o                            metabolic syndrome
o                            PCOS
 
3) Describe the numerous treatment choices available for the treatment of type 1 and type 2 diabetes.
·                         Oral drugs 
osulfonyureas, metformin, pioglitazone,  DDP 4 inhibitors 
·                         Injectable drugs 
oIncretin mimetics, rapid acting insulins, long acting insulins
 
4) Discuss case studies with various patient scenarios for appropriate nursing interventions for hyper- and hypoglycemia.
 
·                A child with diabetic ketoacidosis
·                A surgical patient with hyperglycemia
·                A patient with hypoglycemic shock
 
5) List the micro vascular and macro vascular complications of diabetes.
 
·                Retinopathy, neuropathy, nephropathy
·                Atherosclerosis and cardiovascular disease and hypertension
·                Depression
 
6) Describe the prevention and treatment of the complications of diabetes,
 
·                Control of blood sugars
·                ACE inhibitors
·                Lipid lowering drugs
·                Dietary considerations
·                Drugs to treat neuropathic pain
·                Drugs to treat depression
 
7) Interpret the lab tests used to diagnose and follow a patient with diabetes.
·                Hemoglobin A1C
·                Fasting blood sugars
·                Post-prandial blood sugars
·                Oral glucose tolerance test

 

 

 

 

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