Dka - Study guides, Class notes & Summaries

CHAPTER 33: DIABETES MELLITUS  Clinical S/Sx o T1DM- abrupt, although insulin secretion decline begins long before the symptoms develop.  Classic manifestations (new onset): • Polydipsia • Polyuria • Wt loss • Hyperglycemia • Ketonemia or ketonuria  DKA = classic s/sx + fruity-smelling breath + drowsiness/lethargy + vomiting  Silent (asymptomatic) incidental discovery o T2DM  Polydipsia  Polyuria  Hyperglycemia  Risk Fx and Associated comp...

Types of DM 1. Type 1 - severe insulin deficiency resulting in reduction or absence of functioning beta cells in the pancreatic islets of Langerhans. This leads to hyperglycemia due to altered metabolism of lipids, carbs, and proteins. Initial s/s of hyperglycemia. Subjective findings- polyuria, polydipsia, nocturnal enuresis and polyphagia with paradoxical weight loss, visual changes and fatigue. Objective-dehydration(poor skin turgor and dry mucous), wt loss despite normal/increase appet...