DIABETES - Type 1 & 2

Type 1 - autoimmune disease
Type 2 - trigger by lifestyle factors, genetics
Occurs mostly in the under 30s but can occur at any age
Occurs mostly in the over 45s but can be found in obese young
Clinical manifestations- polydipsia, polyphagia, polyuria, fatigue, blurred vision, slow healing, recurrent infections, weight loss.
Symptomatic if BGL high, slow healing, recurrent infections, lethargy, blurred vision
Pancreas stops producing insulin
Pancreas doesn't produce enough insulin or body cells have insulin resistance
Quick onset
Slow onset
Treatment - Insulin, nutritional therapy, exercise, Aspirin, Aniti-lipid drugs, Diabetic teaching plan, Continuous glucose monitoring system
Treatment - oral hypoglycaemics, Insulin, nutritional plan ,exercise, lose weight, Diabetic teaching plan., Aspirin, Aniti-lipid drugs.
Diagnosis - C Peptides (tells difference between 1 & 2), Antibodies for Type 1, Glucose tolerance Test, HbA1c
Complications - Retinopathy, Nephropathy, Neuropathy, PVD, Artherosclerosis, Lipodystrophy, Hypoglycaemia, Hyperglycaemia, DKA
Nursing considerations - BGLs, Diabetic education of pt & family - about disease & management, healthy eating, complications, medications - insulin use..
Community help - DAFNE- Dose Adjustment for Normal Eating for Type 1s. DESMOND - a self management education course for Type 2s. Diabetes QLD, Diabetes Australia.

Resource summary

	Created by Tafe Teachers SB about 4 years ago