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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