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Samenvatting Zorgvragers met diabetes mellitus $5.88   Add to cart

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Samenvatting Zorgvragers met diabetes mellitus

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Alles over diabetes mellitus en de complicaties hiervan

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  • No
  • Thema 6 hoofdstuk 17 en 18
  • November 26, 2020
  • 9
  • 2019/2020
  • Summary

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17 Diabetes mellitus

17.1 Inleiding

Diabetes mellitus
 Het lichaam kan de bloedglucose niet meer in evenwicht houden.
 Het hormoon insuline regelt de bloedglucosespiegel
 Waardes liggen tussen 4,0–8,0 mmol/l (1mmol/l = 180 mg glucose per liter bloed)
*Waarde boven 10 mmol/l => hyperglykemie
*Waarde onder 4 mmol/l => hypoglykemie
 HbA1c waarde: gemiddelde glucosewaarde over de laatste 8-12 weken
6,5% (48mmol/l) of hoger => diagnose diabetes
Hb => hemaglobine




17.2 Anatomie en fysiologie van de alvleesklier

Alvleesklier(pancreas)
 Is een trosvormige klier en ligt dwars in de bovenbuik onder de maag.
 De alvleesklier produceert:
o Alvleesklier sap: Taak bij de spijsvertering
o Hormonen: stofwisseling van suiker
 De hormonen worden geproduceerd door de eilandjes van Langerhans.
o Glucagon
o Insuline

17.2.2 Eilandjes van Langerhans
 Bestaan uit 2 type cellen:
-cellen => produceren glucagon
-cellen => produceren insuline

1

,  De hormonen glucagon en insuline worden aan het bloed afgegeven




 In de cellen van de lever en de spieren bevindt zich een glucosevoorraad.
 De glucose is opgeslagen in de vorm van glycogeen




Insuline:
 Speelt een belangrijke rol bij het transport van glucose uit het bloed.
 En de opname van glucose in de lever en spieren

Glucagon:
 Bevorderd de omzetting van glycogeen in glucose
 Glucagon brengt het bloedglucosegehalte dus omhoog,
Ook het hormoon adrenaline (bijnieren) helpt hierbij mee.
17.3.1 Soorten diabetes mellitus




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