Pierce College Summer Boot Camp. Diabetes: Part 1. R eview Part 2. Assessment. Review . Normal glucose metabolism. Diabetes is a disorder of carbohydrate metabolism. Liver produces too much glucose Pancreas secretes insufficient insulin Peripheral tissues resistant to insulin.
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be required before exerciseDiet and exercise counseling
Should not be used in patients with kidney
damageImprove ability to move glucose into the cell (esp. muscle cells)
History of intermittent claudication?
Macrovascular complications produce large vessel atherosclerosis resulting from hyperinsulinemia, dyslipidemias, and hyperglycemia.Medical history
Smoking 1 pack of cigarettes a day increases one’s risk of developing type 2 diabetes by 61% over that of the nonsmoker. A diabetic smoker is 3 times more likely to die of cardiovascular disease than the diabetic nonsmoker.
HTN is a major risk factor for diabetes.Medical history
Family history of diabetes increases one’s risk for developing diabetes. Many studies have shown a connection through obesity, hypertension, and metabolic syndrome. NO study has shown there is NO increased risk with a positive family history.Medical history
Patients with diabetes with lower educational and economic levels have been shown to have less utilization of services and monitor their glucose status less frequently that patients with higher educational and economic levels.Medical history