Archive for the tag: Diabetes

Diabetes Complication and Pathophysiology of the complication

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Diabetes mellitus series ( Part 1 ) – Types of Diabetes, Causes, Risk Factors, and Symptoms

Diabetes mellitus (DM) describes a group of metabolic diseases that are characterized by chronic hyperglycemia (elevated blood glucose levels). The two most common forms are type 1 and type 2 diabetes mellitus. Type 1 is the result of an autoimmune response that triggers the destruction of insulin-producing ฮฒ cells in the pancreas and results in an absolute insulin deficiency. Type 2, which is much more common, has a strong genetic component as well as a significant association with obesity and sedentary lifestyles. Type 2 diabetes is characterized by insulin resistance (insufficient response of peripheral cells to insulin) and pancreatic ฮฒ cell dysfunction (impaired insulin secretion), resulting in relative insulin deficiency. This form of diabetes usually remains clinically inapparent for many years. However, abnormal metabolism (prediabetic state or impaired glucose intolerance), which is associated with chronic hyperglycemia, causes microvascular and macrovascular changes that eventually result in cardiovascular, renal, retinal, and neurological complications. In addition, type 2 diabetic patients often present with other conditions (e.g. hypertension, dyslipidemia, obesity) that increase the risk of cardiovascular disease (e.g., myocardial infarction). Renal insufficiency is primarily responsible for the reduced life expectancy of patients with DM.
Because of the chronic, progressive nature of type 1 and type 2 diabetes mellitus, a comprehensive treatment approach is necessary. The primary treatment goals for type 2 diabetes are the normalization of glucose metabolism and the management of risk factors (e.g., arterial hypertension). In theory, weight normalization, physical activity, and a balanced diet should be sufficient to prevent the manifestation of diabetes in prediabetic patients or delay the progression of disease in diabetic patients. Unfortunately, these general measures alone are rarely successful, and treatment with oral antidiabetic drugs and/or insulin injections is often required for optimal glycemic control. In type 1 diabetes, insulin replacement therapy is essential and patients must learn to coordinate insulin injections and dietary carbohydrates. Both type 1 and type 2 diabetic patients require regular self-management training to improve glycemic control, reduce the risk of life-threatening hypoglycemia or hyperglycemia, and prevent diabetic complications.

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Pathophysiology of Diabetes Mellitus

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Description of pathophysiology of type 1 and type 2 diabetes, and a discussion of complications.
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Checking Your Blood Glucose | Diabetes Discharge | Nucleus Health

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This 3D medical animation shows how to check blood glucose (sugar) levels using a glucose meter.

Nucleus Medical Media creates medical and scientific visual content for the healthcare, pharma, and medical device industries. Our products include animations, illustrations, and interactive content intended to educate patients and raise health literacy. Nucleus content can be licensed and used in a variety of ways. Ask us about custom work.
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Diabetes Mellitus and Type 2 Diabetes: Diagnosis & Management โ€“ Family Medicine | Lecturio

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This video โ€œDiabetes Mellitus and Type 2 Diabetes: Diagnosis & Managementโ€ is part of the Lecturio course โ€œFamily Medicineโ€ โ–บ WATCH the complete course on http://lectur.io/melllitus

โ–บ LEARN ABOUT:
– Diabetes mellitus
– Hyperlipidemia and Obesity
– Screening for T2DM
– Type 2 diabetes
– Routine evaluation of patients with T2DM
– Taking care of diabetes
– Treatment of T2DM – Lifestyle
– Pearl regarding home glucose testing
– When to start insulin
– Insulin treatment in T2DM

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Your tutor is Dr. Charles Vega, who has over 20 years of experience in patient care and has led hundreds of didactics on clinical issues. He was also proud to receive a rare medical teaching fellowship that gave him highly valuable insight on curriculum design and learner engagement.

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Types of Diabetes: Type 1, Type 2 and Type 3 and Gestational Diabetes
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Diabetes Mellitus โ€” Types, Complications and Treatment
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Diabetes mellitus NCLEX pharmacology medication review of the nursing care management for the diabetic patient. This will include the diabetic diet (carbs, fats, proteins), exercise regime (how to monitor glucose prior to exercise, types of exercises for the diabetic), and pharmacological management (oral medications for type 2 diabetes, insulin therapy for type 1 diabetes, and medications that cause hyperglycemia/hypoglycemia). In addition, I will cover the NCLEX highlights for oral medications, such as Sulfonylureas, Meglitinides, Biguanides, Alpha-glucoside inhibitors, and Thiazolidinedione, Insulin mnemonics for short-acting, rapid-acting, intermediate-acting, and long-acting insulin (which will include onset, peak, and duration times with a clever mnemonic). Don’t forget to watch PART 1 of this series on the patho, causes, types, complications, and nursing assessment of diabetes.

Quiz on DM Pharmacology & Nursing Management: http://www.registerednursern.com/diabetes-mellitus-pharmacology-nursing-management-nclex-quiz/

Part 1 of this NCLEX Diabetes Series: https://www.youtube.com/watch?v=Ek6hnu1zaog

Lecture Notes for this video: https://www.registerednursern.com/diabetes-mellitus-nclex-review-notes-medications-nursing-management/

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Diabetes mellitus – Symptoms, Complication, Pathology of Type 1 and Type 2, Animation

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(USMLE topics) This is an updated version to include explanation of symptoms and complications. This video is available for instant download licensing here https://www.alilamedicalmedia.com/-/galleries/narrated-videos-by-topics/diabetes/-/medias/b13f42e3-24ec-4b99-85b8-1decf0535101-updated-diabetes-narrated-animation-full-version
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Diabetes mellitus refers to a group of conditions characterized by high levels of blood glucose, commonly referred to as blood sugar.
During digestion, carbohydrates in food are broken down into glucose which is carried by the bloodstream to various organs of the body. Glucose is taken up by the cells and is either consumed as an energy source or stored for later use. Insulin is a hormone produced by beta cells of the pancreas and is necessary for driving glucose into cells. Binding of insulin to its receptor on target cells triggers a signaling cascade that brings glucose transporters to the cell membrane. When insulin is deficient, glucose cannot enter the cells; it stays in the blood, causing high blood sugar levels while the cells are deprived of nutrition. This results in unexplained weight loss and increased hunger. As blood sugar level exceeds the ability of the kidneys to reabsorb, it overflows into urine, taking water along with it, resulting in large volumes of urine, dehydration and excessive thirst.
In the long run, too much sugar in the blood may cause damages to blood vessels, resulting in increased risks of cardiovascular diseases such as heart attack and stroke. Damaged vessels in the eyes may lead to loss of vision; while in the kidneys, renal failure may result. High blood sugar is also toxic to the nerves, resulting in numbness, tingling and reduced pain perception. This, together with impaired wound healing can lead to development of skin ulcers, most commonly in the feet.
Acute hyperglycemic crises may develop when diabetic patients undergo additional stress such as infections, other illness or inadequate treatment. These complications involve severe disturbances of blood homeostasis and are potentially life-threatening.
There are two major types of diabetes mellitus.
In type 1, beta cells of the pancreas are destroyed by the bodyโ€™s own immune system by mistake. The exact mechanism remains unclear, but genetic factors are believed to play a major role, with at least 50 genes involved in predisposition to the disease. Insulin production is reduced; less insulin binds to its receptor on target cells; less glucose is taken into the cells; more glucose stays in the blood. Type 1 is characterized by early onset, symptoms usually start suddenly, before the age of 20. Type 1 diabetes is โ€œinsulin dependentโ€ and can be successfully managed with insulin replacement.
In type 2 diabetes, the pancreas produces enough insulin but something goes wrong either with receptor binding or the signaling cascade in the target cells. The cells are not responsive to insulin and therefore cannot import glucose. Type 2 diabetics are said to be โ€œinsulin resistantโ€. Here again, genetic factors predispose susceptibility to the disease, but lifestyle plays a major role. Type 2 is characterized by adult onset; symptoms appear gradually, usually after the age of 30. Management focuses on weight loss and includes a low-carb diet.
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Diabetes mellitus (DM) occurs when the body either produces insufficient amounts of insulin (type 1 diabetes), or the body build resistance to insulin due to overuse (type 2 diabetes). In this NCLEX review, Mike Linares RN reviews insulin types, memory tricks on how to remember insulin peak times, onset, and duration of:
Rapid acting insulin: Lispro, Aspart, Glulisine (brand names: Humalog, Novolog, Apidra)
Short acting insulin: Regular Insulin (Humulin, Acrapid, Novolin)
Intermediate acting insulin: NPH, Lente
Long acting insulin: Glargine insulin, Detemir insulin (brand names: Lantus, Levemir)

The pathophysiology of type 1 diabetes is where the pancreas does not produce insulin, and type two diabetes is where the body develops insulin resistance.

Pharmacology of type one diabetes includes insulin subcutaneous injection and insulin pump, and type two diabetes mellitus includes adherance to diet, oral antidiabetics as well as insulin.

Both could be exacerbated into extreme conditions, DKA (diabetes ketoacidosis) more common in type one diabetes, and HHS or HHNS (hyperglycemic hyperosmolar syndrome).

This 7 part video series on endocrine medical surgical adult health nursing is intended to help registered nurse RN students and LPN students with NCLEX memorization tricks. In this video series Michael Linares, RN from Simple Nursing helps explain the nursing pathophysiology, signs and symptoms, causes, pathology, treatment options for various diagnosis, which are expected to know for the NCLEX, HESI, ATI, and Kaplan proctor exams.

For more information on NCLEX endocrine medical surgical nursing topics like Cushings and Addison nursing treatments, diabetes mellitus and insulin onset, peak and duration memory tricks for NCLEX RN and LPN, click here: https://simplenursing.com/free-trial/

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– Myocardial Infarction (MI) https://www.youtube.com/playlist?list=PL3NAm8UHLUnLLJQsAIsQaHJiOvcLN1cUe
– Addisonโ€™s vs. Cushing https://www.youtube.com/playlist?list=PL3NAm8UHLUnKT3JBkVTN-hXbyULbPgWz5
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– Hypertension https://www.youtube.com/watch?v=5zg95R8H1oo
– Hyperkalemia https://youtu.be/HdG8lqJzWi4
– SIADH vs Diabetes Insipidus https://youtu.be/hKFGGv0E-5A

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What is Diabetes Mellitus? – Understanding Diabetes – Diabetes Type 1 and Type 2

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What is Diabetes Mellitus? - Understanding Diabetes - Diabetes Type 1 and Type 2

What is Diabetes Mellitus?

Diabetes mellitus occurs when there is a deficiency in insulin production. This results in high level of blood sugar in the body. Without insulin in our body, glucose cannot enter the body cells and is excreted through urine, which results in its loss. An increase in blood glucose concentration leads to loss of water in cells, via osmosis, to blood.
To understand what happens in a diabetes patient, we need to understand what happens in the normal mechanism.
Whenever the blood glucose level increases, the pancreas respond by secreting insulin. Insulin has two functions here, it converts glucose to glycogen and increases metabolism of glucose in cells. This is how the glucose level falls and the blood sugar level goes back to normal.
When the blood sugar level is low, the pancreas respond by secreting less insulin, which in turn reduces the conversion of glucose to glycogen. The sugar level increases and blood sugar level goes back to normal.
Normally after we eat or drink, our body will break down sugars from our food and use them for energy in our cells. To accomplish this, our pancreas needs to produce a hormone called insulin. Insulin is what facilitates the process of pulling sugar from the blood and putting it in the cells for use, or energy.
If you have diabetes, your pancreas either produces too little insulin or none at all. The insulin cannot be used effectively. This allows blood glucose levels to rise while the rest of your cells are deprived of the much-needed energy. This can lead to a wide variety of problems affecting nearly every major body system.
Types of Diabetes
There are two types of Diabetes Type 1 and Type 2. Type 1 is also called juvenile diabetes or insulin-dependent diabetes, is an immune system disorder. Our own immune system attacks the insulin-producing cells in the pancreas, destroying our bodyโ€™s ability to make insulin. With type 1 diabetes, one must take insulin to live. Most people are diagnosed as a child or young adult as it is inherited.
Its symptoms include frequent urination, thirst and fatigue, insulin shock and diabetic coma. Insulin shock can be described as a feeling of dizziness, sweating and paleness. Diabetic coma can be described as partial or complete loss of consciousness.
Type 2 is related to insulin resistance. It used to occur in older populations, but now more and more younger populations are being diagnosed with type 2 diabetes. A major risk factor of this type of diabetes is obesity. Obese people tend to get this more. Type 2 diabetes is mostly a result of poor lifestyle, dietary, and exercise habits.
With type 2 diabetes, our pancreas stops using insulin effectively. This causes issues with being able to pull sugar from the blood and put it into the cells for energy. Eventually, this can lead to the need for insulin medication. Its symptoms include blurred vision and fatigue.

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Diabetes mellitus (type 1, type 2) & diabetic ketoacidosis (DKA)

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What is diabetes mellitus? Diabetes mellitus is when there’s too much glucose, a type of sugar, in the blood. Diabetes mellitus can be split into type 1, type 2, as well as a couple other subtypes, including gestational diabetes and drug-induced diabetes.

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Diabetes Mellitus Pathophysiology & Nursing | Diabetes Nursing Lecture NCLEX | Type 1 & Type 2

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Diabetes mellitus pathophysiology and nursing nclex lecture review on diabetes type 1 and diabetes type 2. Diabetes mellitus is where a patient has insufficient amounts of insulin to use the blood glucose in the body. Therefore, the patient will experience extreme hyperglycemica. In this lecture, I highlight the key players in diabetes mellitus, causes, different types of diabetes (type 1, type 2, and gestational), complications, and nursing assessment of the diabetic patient.

Diabetes Mellitus Quiz: http://www.registerednursern.com/diabetes-mellitus-nclex-quiz/

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“Dosage & Calculations for Nurses”: https://www.youtube.com/playlist?list=PLQrdx7rRsKfUYdl0TZQ0Tc2-hLlXlHNXq

“Diabetes Health Managment”: https://www.youtube.com/playlist?list=PLQrdx7rRsKfXtEx17D7zC1efmWIX-iIs9
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Blood Glucose Regulation and Diabetes

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A simple guide to blood glucose regulation and a brief overview of the two types of diabetes. This video is designed to build a fundamental understanding of blood glucose regulation so that we can go into more detail in future videos about the different types of anti-diabetic medication.

Zero to Finals Medicine book:
UK: https://www.amazon.co.uk/dp/1091859892
US: https://www.amazon.com/dp/1091859892

Zero to Finals Paediatrics book:
UK: https://www.amazon.co.uk/dp/1080142827
US: https://www.amazon.com/dp/1080142827

Zero to Finals Obstetrics and Gynaecology book:
UK: https://www.amazon.co.uk/dp/B08K4K2WQB
US: https://www.amazon.com/dp/B08K4K2WQB

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Swami Ramdev's effective yoga tips to treat diabetes

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According to Swami Ramdev, diabetes can be easily overcome by doing 5 pranayamas and 5 yoga asanas daily. He shares effective yoga tips to get rid of all types of diabetes by staying at home.