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
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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