Diabetes Flashcards
A twelve year old female with a history of type 1 Diabetes Mellitus presents for restorative treatment.
During treatment she becomes confused, anxious, and tachycardic. Her skin becomes wet and cold and she later becomes unconscious…
What has occurred?
Appropriate measures?
Non-Apptopriate measures?
HYPOGLYCEMIC
APPROPRIATE
- Activate EMS
- IM administration of GLUCAGON
- IV administration of 50% Dextrose Solution
NON-APPROPRIATE
- IM administration of Insulin
Symptoms for Type 1 Diabetes?
Extreme thirst
Increased hunger (especially after eating)
Dry mouth
Upset stomach and vomiting
Frequent urination
Unexplained weight LOSS, even though you’re eating and feel hungry
Fatigue
Blurry vision
Heavy, labored breathing (your doctor may call this Kussmaul respiration)
Frequent infections of your skin, urinary tract, or vagina
Crankiness or mood change
Bedwetting in a child who’s been dry at night
What is Polydipsia?
Abnormally great THIRST as a symptom of disease (such as diabetes) or psychological disturbance.
Diabetes and wound healing?
Blood sugar level is the main factor in how quickly your wound will heal.
Causes stiffening of the arteries, narrowing of blood vessels
Higher-than-normal blood sugar levels also increase ⬆️ the possibility of infection. This is because bacteria thrive on the extra sugar that’s available in the bloodstream.
High blood sugar levels can also prevent immune cells from being able to fight off invading bacteria.
What two things can High Blood Sugar contribute to periodontal disease?
Reduced vascularity
Dry mouth
What are some syndromes that Diabetes is often associated with?
DOWNS
TURNER
KLIENFELTER
PRADER WILLI
WILLIAMS
What is responsible for the fruity breath in Diabetics?
Acetone
Signs of HYPOGLYCEMIA
Whole body: excess sweating, excessive hunger, fainting, fatigue, lightheadedness, or shakiness
Gastrointestinal: nausea or vomiting
Cognitive: mental confusion or unresponsiveness
Mouth: dryness or tingling lips
Also common: anxiety, blurred vision, headache, irritability, pallor, palpitations, sensation of pins and needles, sleepiness, slurred speech, tremor, or unsteadiness
You suspect a patient is Hypoglycemic, what is your treatment?
PURE GLUCOSE — found in tablets, gels and other forms — is the preferred treatment.
* Foods with more fat, such as chocolate, don’t raise blood sugar as quickly.*
GLUCAGON is a hormone that raises blood sugar quickly!
-Glucagon comes in an emergency syringe kit or as a nasal treatment.
Hypoglycemia is when a persons blood sugar is at what level?
When your blood sugar level drops below 70 mg/dL (3.9 mmol/L).
What is involved with Metabolic Syndrome?
Metabolic syndrome is a cluster of conditions that occur together, increasing your risk of heart disease, stroke and type 2 diabetes.
These conditions include increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels.
T/F?
Excess Saliva is a common finding in Diabetes
False
Xerostomia is common
