Type 1 Diabetes

Nota:

• Destroyed by bodies T-Cells

1. Don't produce insulin
   1. Can't get Glicose into cells
      1. Glucose metabolized from other sources

1. Occurs in people under 40

1. Normal Leve: 4-6mmol/L
   1. High Insulin >6 mmol/L
      1. after meal
         1. Stimulates Storage of glucose as glycogen

1. Don't heat/freeze
2. May be left @ room temp for 30 days
3. Extra insulin in the fridge
4. Avoid exposure to sunlight

1. Not taken Orally
   1. SubQ Injection
      1. Fastest Absorption
         1. Abdomen
            1. arm
               1. Thigh
                  1. Buttock
      2. Rotate injection sites
      3. Don't inject site to be exercises

1. Tell's you about glucose over 120 days
   1. >6.5%

1. >7 mmol/L

1. >11 mmol/L

1. Drink sugary orange drink to test pancreas
   1. >11.1 mmol/L

1. From outside source
   1. Rapid Acting (Bolus)
      1. Injected 0-15mins before meal
         1. Onset of Action: 15 mins
            1. Lispro/Aspart/Glulisine
   2. Short-Acting (Bolus)
      1. Injected 30-45mins before meal
         1. Onset of Action: 30-60mins
            1. "Regular Insulin"
               1. Humulin-R
   3. Long-Acting (Basal)
      1. Injected Once daily (am or pm)
         1. No peak action (steady release)
            1. Can't be mixed with any other insulin
               1. Lantua/Levemir

1. Insulin managed day to day
   1. Using Rapid acting insulin
      1. Make adjustments in dose before meals based on blood glucose
2. Carbs
   1. 45-60%
      1. Less than 10% from sucrose
3. Fats
   1. <35%
4. Protiens
   1. 15-20%
5. Glycemic Index
   1. Low GI
      1. Wheat
      2. All Bran
      3. Pasta/Noodle
      4. Sweet Potatoe
   2. Medium GI
      1. Whole Wheat
      2. Grapefruit
      3. Oatmeal
      4. Brown Rice
   3. HIgh GI
      1. White bread
      2. Corn Flakes
      3. Short Grain Rice
      4. French Fries
      5. Soda Crackers

1. Increases insulin sensitivity

1. Small carb snack every 30 mins
   1. Monitor blood glucose before,during and after

1. Deficiency of insulin
   1. Fats metabolized
2. Signs
   1. Polyuria
   2. Polydispia
   3. Dehydration
   4. Kussmauls respirations

1. Causes
   1. Food, activity, rest not balanced
   2. Sick
   3. Under Stress
2. Signs
   1. frequent urination
   2. Thirst
   3. Fatigue
3. Treatment
   1. Exercise is ketones not in urine
   2. Cut down on type of food eating
      1. Consult dietion

1. Causes
   1. More activity than usual
   2. Not eating on time
   3. Too much medication
   4. Alcohol
2. Signs
   1. Shaking
   2. Confusion
   3. Sweaty
   4. Tachycardia
   5. Weak/drowsy
3. Treatment
   1. 15g Glucose
   2. 6 Lifesavers
   3. Wait 15 mins
      1. Treat again is BS still low