Organizational Performance Management Pape

Pre-Lecture Assignment for January 20 - Acute Complications of Diabetes
Instructions:   Complete the questions below and upload in designated assignment area in the Diabetes Unit Topic section in the MOODLE Course site for N201 no later than Tuesday, January 20 at 7 am.
  1. Identify at least 3 situations that can precipitate or lead to either Diabetic Ketoacidosis (DKA) or Hyperosmolar Hyperglycemic Conditions (HHS/HHNK) (Acute complications of hyperglycemia in diabetes)?

Diabetic Ketoacidosis
  A. Can occur in a person with diagnosed DM when energy requirements increase during physical or emotional stress.
  B. The person is sick or has an infection (the most frequent cause of DKA
  C. A person who decreases or omits inulin doses
Hyperosmolar Hyperglycemic-
  A. infection
  B. acute and chronic illness
  C. therapeutic procedures
  D.   therapeutic agents that cause hyperglycemia

  2.   What is the most significant difference between these two conditions?  

The significant difference between DKA and HHS is that DKA develops in type 1 DM and HHS occurs in people who have type 2 DM.

  3. List at least 4 causes of hypoglycemia related to a surplus of insulin /or a lack of glucose.   (answer must have at least one cause of each)  

Hypoglycemia can result from mismatch between insulin intake (error in insulin dose), physical activity, and the lack of carbohydrate availability (missing a meal).   Also the intake of alcohol and drugs can cause hypoglycemia.

  4. Explain the physiologic mechanism that results in the ‘early warning signs’ of hypoglycemia?

The symptoms of hypoglycemia result from a compensatory autonomic nervous system response and from impaired cerebral function due to a decrease in glucose available for use by the brain.
List at least 3 of these early warning signs:   sweating, shakiness, and change in emotional behavior.

  5.   What is neuroglycopenia?   Identify at least 3 symptoms associated with...