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Diabetes Type 1

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Diabetes Type 1 ( Juvenile Diabetes ) ( Insulin-Dependant Diabetes ) Pathophysiology Autoimmune disease Destroys beta cells in Islets of Langerhans ... – PowerPoint PPT presentation

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Title: Diabetes Type 1


1
Diabetes Type 1
  • (Juvenile Diabetes)
  • (Insulin-Dependant Diabetes)

2
Pathophysiology
  • Autoimmune disease
  • Destroys beta cells in Islets of Langerhans
  • Sufficiently reduces and eventually completely
    eliminates insulin production

3
  • Cause Unknown
  • Genetics plays a strong role
  • May also be triggered by environmental factors
  • NOT from eating too many sweets

4
Presentation
  • Thirst and frequent urination
  • Extreme hunger
  • Weight loss
  • Fatigue
  • Blurred vision
  • Dry itchy skin that heals slowly
  • Loss of feeling or tingling in feet

5
Complications/ Associated Diseases
  • Hypoglycemia
  • Sweating
  • Shakiness
  • Weakness
  • Hunger
  • Dizziness
  • Nausea
  • Slurred speech
  • Drowsiness
  • Confusion
  • Seizures
  • Coma

6
  • Hypoglycemia Tx
  • Administer Glucagon (1mg IM SQ)
  • Administer D50 (25-50 g IV)
  • If awake and able to swallow/protect airway
  • Fruit juice
  • Milk
  • Hard candy
  • Glucose tablets
  • Granulated white sugar
  • Regular non-diet soda
  • Follow with high protein snack

7

Random trivia Animals get diabetes too!
  • DO NOT
  • Put sugar in an unconscious pts mouth
  • Try pouring juice or sugar water down an
    unconscious pts throat
  • Administer Insulin
  • Administer Peanut butter
  • Put your hand in the pts mouth

8
  • Diabetic Ketoacidosis
  • Slow onset
  • Dry mouth/ thirst
  • High blood glucose levels
  • High ketone levels in urine
  • Constant fatigue
  • Dry, flushed skin
  • Nausea, vomiting, abdominal pain
  • Difficulty breathing/ Kuussmauls
  • Fruity odor on breath
  • Difficulty concentrating/confusion

9
  • Diabetic Ketoacidosis Tx
  • IV fluid replacement
  • If pt is known alcoholic consider 100mg Thiamine
  • If transportation time is lengthy medical
    direction may request insulin administration

10
  • Hyperglycemia (CBGgt250mg/dl)
  • Nephropathy (kidney disease)
  • Eye/Skin/Foot complications
  • Depression
  • Gastroparesis
  • Heart disease
  • Stroke
  • Neuropathy/Nerve damage
  • Celiac Disease (severe reaction to gluten. 20 of
    diabetics affected)

11
Tx/Management/Cures
  • Diet control
  • exercise
  • Insulin shots/Insulin pumps
  • Kidney transplantation
  • Pancreas transplantation
  • Islet transplantation
  • Stem cell transplantation
  • NO CURE YET

12
END
  • http//www.youtube.com/watch?vILIvPzyK_8I

13
biobliography
  • American Diabetes Association. All about
    diabetes. Retrieved nov 25 2007 from
    http//diabetes.org/type-1-diabetes.jsp
  • Bledsoe, Porter, Cherry. (2006). Paramedic
    Care Principles and Practice. Upper Saddle
    River, NJ Pearson Education Inc.
  • Diabetes services Inc. (2007) diabetes mall
    Diabetes Technology. Retrieved nov 25, 2007 from
    http//www.diabetesnet.com/diabetes_technology/ins
    ulinpumps.php
  • Hasselbring, B. What is Hypoglycemia?. Retrieved
    Nov 25, 2007 from http//health.discovery.com/cent
    ers/articles/articles.html?chromec10articleLC_9
    0centerp07
  • Mayo Clinic Staff. (oct 24, 2007). Type 1
    Diabetes. Retrieved nov 25, 2007 from
    http//www.mayoclinic.com/health/type-1-diabetes
  • Medlineplus. (nov 23, 2007). Diabetes Type 1.
    Retrieved nov 25, 2007 from http//www.nim.nih.gov
    /medlineplus/diabetestype1.html
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