(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.
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Insulin Sensitizers (e.g., pioglitazone) make cells more responsive to insulin.
Diet, exercise, and potentially oral medications that help lower blood glucose.
Types of Insulin:
Glucose Tolerance Test:
Long-Acting Insulin (e.g., Lantus): Works slowly without peaks, providing steady insulin levels over 12-24 hours.
Symptoms: Often similar to Type 1 (polyuria, polydipsia, polyphagia), but less noticeable.
Foot Care: Inspect feet daily for cuts, blisters, or infections; wear proper footwear; avoid barefoot walking.
Pancreas Functions:
Insulin stimulators (e.g., glipizide) help the pancreas release more insulin.
Monitoring blood sugar multiple times daily.
Blood sugar drops during the night (often due to excess insulin before bed), and the body compensates by raising blood glucose, resulting in high morning glucose. Managed by adjusting insulin dosage or adding a bedtime snack.
Treatment: Insulin IV, fluids, and monitoring electrolytes.
Focus on lifestyle changes first:
Rapid-Acting Insulin (e.g., Humalog): Works within 15 minutes and is given before or with meals.
Common in people under 30 and often diagnosed abruptly.
Diabetes Risk Factors
Insulin is essential. Treatment involves:
Complications of Diabetes
Exercise: Can lower blood glucose but requires careful planning to avoid hypoglycemia.
Type 2 Diabetes:
Diabetic Ketoacidosis (DKA):
Higher risk for Diabetic Ketoacidosis (DKA), a life-threatening condition where blood becomes acidic due to a lack of insulin.
Weight gain is common, and HHS is a risk due to high blood glucose without ketones.
Blood sugar rises in the early morning due to hormone release. Managed by adjusting insulin timing.
Blood Glucose Monitoring: Educate on frequency and techniques.
Hemoglobin A1C:
Blood Glucose:
Regular insulin injections or an insulin pump.
Medication Types and Insulin Administration
Diet: Emphasize balanced meals, carb counting, and limiting sugar intake.
Exocrine Function: This involves producing enzymes that help digest food.
Type 1 Diabetes:
Somogyi Effect:
Hyperglycemia (High Blood Sugar): When blood glucose rises, the pancreas releases insulin to help cells absorb glucose and lower blood sugar levels.
Gradual onset, with symptoms often less noticeable.
Oral Hypoglycemics for Type 2:
Type 1: Family history, genetic predisposition, autoimmune conditions, and sometimes following viral infections. It’s more common in those under 30.
Quick onset of symptoms, including weight loss, increased appetite, and the "3 Ps" (polyuria, polydipsia, polyphagia).
Short-Acting Insulin (e.g., Regular insulin): Takes 30-60 minutes to work and is used for meal coverage and DKA emergencies.
Treatment: Insulin IV, fluids, and electrolyte replacement.
Diabetes Mellitus is a condition where the body cannot regulate blood glucose properly, resulting in chronic hyperglycemia (high blood sugar).
Therapeutic Management and Nursing Interventions
Higher risk for Hyperosmolar Hyperglycemic State (HHS), where blood sugar rises dangerously high without the presence of ketones (no acidosis).
Alpha cells: These cells release glucagon when blood glucose is low. Glucagon signals the liver to convert stored glycogen back into glucose and release it into the bloodstream, raising blood sugar.
Types of Diabetes:
Diet control through carbohydrate counting.
Normal Range: Blood glucose should be between 70-110 mg/dL. The brain relies on a steady glucose supply, as it cannot store glucose, making blood glucose regulation crucial for brain function.
Hypoglycemia (Low Blood Sugar): When blood glucose drops, the pancreas releases glucagon to signal the liver to release glucose.
Dawn Phenomenon:
Nursing Interventions:
Signs and Symptoms
Intermediate-Acting Insulin (e.g., NPH): Takes 1-2 hours to start working; used to cover blood sugar between meals.
Cause: Extremely high blood glucose with dehydration, typically in Type 2.
Key Lab Values and Diagnostic Tests
Endocrine Function: The pancreas also regulates blood sugar (glucose) levels. This happens through tiny clusters called the Islets of Langerhans, which contain two critical types of cells:
What is Diabetes Mellitus?
Insulin Resistance: The body produces insulin but doesn't use it effectively, often due to obesity, inactivity, and genetic factors.
Diabetes Mellitus (DM): Types and Differences
Type 2 Diabetes:
Some patients may eventually need insulin.
Type 1 Diabetes:
Hyperosmolar Hyperglycemic State (HHS):
The liver stores glucose in the form of glycogen. When blood glucose levels drop, glucagon from the pancreas tells the liver to release stored glucose, raising blood glucose levels. When blood glucose is high, insulin encourages the liver to stor
Liver's Role:
Beta cells: These cells release insulin and amylin when blood glucose is high. Insulin helps cells absorb glucose for energy, while amylin slows down the absorption of glucose and controls blood sugar spikes.
Type 2: Obesity (high BMI), sedentary lifestyle, family history, certain ethnicities (Hispanic, African American, Native American, Asian American, Pacific Islander), and history of gestational diabetes. Symptoms usually develop gradually.
Cause: High blood glucose with ketone production (due to lack of insulin).
Understanding Diabetes and the Pancreas' Role
Biguanides (e.g., metformin) decrease glucose production in the liver.
Type 2 Diabetes:
Blood Glucose Basics:
Should be below 140 mg/dL after 2 hours of consuming glucose.
Common onset is around age 50 and tends to develop gradually.
Higher risk for DKA due to the complete lack of insulin.
Type 1 Diabetes:
Autoimmune Condition: The immune system attacks and destroys beta cells in the pancreas, which stops the production of insulin.
Urine Screening:
Sick Day Rules: Maintain blood sugar checks, even if not eating much, as stress and illness can increase blood sugar.
Reflects average blood glucose levels over the past 3 months. A normal A1C is between 4-6%.