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Diabetic ketoacidosis
Diabetic ketoacidosis

... Kussmaul  respirations,  increased  rate  and  depth  of  breathing,  may  be   observed   The  acidotic  patient  attempts  to  increase  lung  ventilation  and  rid  the  body   of  excess  acid  with  Kussmaul’s  respiration ...
"How to" of Clinical Order Set Implementation
"How to" of Clinical Order Set Implementation

... What are the goals for in-hospital glycemic control? The 2013 CDA CPG suggest trying to obtain fasting and pre-meal BG between 5.0 and 8.0 mmol/L for most hospitalized patients with diabetes, whether treated with oral anti-diabetic therapy or SC insulin. When is subcutaneous insulin not used for a h ...
Homeostasis article/ques
Homeostasis article/ques

... caused in two basic ways: by deficiency (cells not getting all they need) or toxicity (cells being poisoned by things they do not need). When homeostasis is interrupted, your body can correct or worsen the problem, based on certain influences. In addition to inherited (genetic) influences, there are ...
Hemoglobin A1C - Cleveland Clinic
Hemoglobin A1C - Cleveland Clinic

... should be confirmed by a second test ordered by the patient’s physician. The test report will include an eAG result, which is calculated based on the relationship between blood glucose concentrations and Hemoglobin A1C levels. Knowing the eAG helps patients to relate their results to everyday glucos ...
Parenteral Nutrition Syd Uni 2008
Parenteral Nutrition Syd Uni 2008

... Parenteral Nutrition (PN) • Par-enteral = not in or through the digestive system • Commonly known as TPN (Total Parenteral Nutrition) • Is the intravenous administration of protein, carbohydrate, fat and micronutrients • Used successfully since the early 1960’s for those with non-functioning GIT’s ...
Dapagliflozin: a sodium glucose cotransporter 2 inhibitor in
Dapagliflozin: a sodium glucose cotransporter 2 inhibitor in

... hyperglycemia the majority of individuals with T2DM will experience microvascular and/or macrovascular complications. These include diabetic retinopathy, nephropathy, neuropathy, peripheral arterial disease, stroke, and coronary artery disease. 9 The ultimate goal of any pharmacological intervention ...
NORTH INDIAN EDUCATIONAL TRUST (NIET)
NORTH INDIAN EDUCATIONAL TRUST (NIET)

... programmes should be conducted. They should include: exhibitions, film shows, puppet shows, diabetes detection camps, seminars, film shows, Television & Radio Programmes, publication of features stories in the leading news papers and magazines etc,. People from various stream of life such as teacher ...
A pathway to insulin independence in newborns and infants
A pathway to insulin independence in newborns and infants

... decrease in insulin dosages are well tolerated. A decrease in bolus insulin therapy usually precedes weaning basal insulin dosing. Insulin independence is more achievable if sulfonylureas are introduced at a younger age.3 The diagnosis of neonatal diabetes is often first made in the nursery or neona ...
Understanding Advanced Carbohydrate Counting — A Useful Tool
Understanding Advanced Carbohydrate Counting — A Useful Tool

... normal pancreatic function. A three-day reservoir houses rapid-acting insulin that’s delivered as basal and bolus. Basal is a constant infusion delivered 24 hours per day to mimic pancreatic basal insulin secretion. Bolus is given as needed or on demand in response to meals or to correct high blood ...
Additional file 6
Additional file 6

... Providing suitable locations for checking blood glucose and administering insulin during the school day A location that provides privacy during blood glucose Lack of a private locations for Assess to a private location for insulin monitoring and insulin administration [18]. Permission insulin admini ...
Managing Hospital Safety
Managing Hospital Safety

... npsgs.htm. Accessed January 29, 2009. 6. Hellman R. A systems approach to reducing errors in insulin therapy in the inpatient setting. Endocr Pract. 2004;10(suppl 2):100-108. 7. The Institute for Safe Medication Practices. 2004 ISMP Medication Safety Self Assessment® for Hospitals. http://www.ismp.o ...
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434 PHT incompatibil..

... Don’t forget to check for any incompatibilities with additives that have already been added to the patient’s primary IV solution (e.g. potassium chloride, multivitamins), these can be incompatible with many medications because of pH. If a prescription calls for unfamiliar drugs or IV fluids, compati ...
File - CIEE Public Health Pass-on
File - CIEE Public Health Pass-on

... • Active screening of ‘target’ group • Clear cut suggestions how to conduct screening Including hypertension and nutritional status (BMI) into the program • Principle that population should actively support the efforts by adopting behavior to reduce prevalence and control complications ...
Insulin Therapy to Improve BMI in Cystic Fibrosis
Insulin Therapy to Improve BMI in Cystic Fibrosis

... test (OGTT), they have normal fasting glucose levels, but their 2-h glucose is ⱖ200 mg/dl (11.1 mmol/l). It has been argued that patients with CFRD FH⫺ do not require diabetes therapy because they are asymptomatic, have relatively normal glucose levels when measured at home by self-monitoring of blo ...
Management of Inpatient Diabetes and
Management of Inpatient Diabetes and

...  AM CBG: 85, no insulin given, day prior glargine was given  Noon CBG: 248, 4 units  Dinner CBG: 166, 2 units  Bedtime CBG: 287, 6 units given, glargine held ...
S07 OTC In-Home Testing And Monitoring
S07 OTC In-Home Testing And Monitoring

... Urine glucose indicates only that there was a blood glucose increase (but not a decrease) in the past hours and that glucose spilled over in the urine when blood glucose level exceeded the threshold (which differs from one person to another). ...
Error Reduction Strategies for High
Error Reduction Strategies for High

... Safe Use Protocol– Transcribing • As an additional layer of safety, a process was approved for Pharmacists to interview the patient to verify their home dose of U-500 insulin. • A kit was developed for use during the interview. • The kit features a U-100 and Tuberculin syringe as well as an intervi ...
Document
Document

... medical provider with a single source, authoritative guideline for the management of diabetes and the conditions often encountered in a patient with diabetes • This guideline for management of diabetes in adults addresses: – Appropriate therapeutic targets, frequency of assessment and other issues t ...
Week 1 - Vanderbilt University
Week 1 - Vanderbilt University

... The US Food and Drug Administration (FDA) has approved Medtronic's MiniMed 670G hybrid closed-loop insulin delivery system, the first-ever device that automatically monitors blood glucose and administers appropriate basal insulin doses , without the patients assistance, for patients aged 14 years an ...
Types 1 and 2 Diabetes: A Comparison and Contrast
Types 1 and 2 Diabetes: A Comparison and Contrast

... Diabetes mellitus is a condition in which the pancreas no longer produces enough insulin or when cells stop responding to the insulin that is produced so that glucose in the blood cannot be absorbed into the cells of the body. Diabetes can be classified according to two types; Type 1 and Type 2 diab ...
the endocrine system
the endocrine system

... of the stomach, is composed of three parts: a head, body, and tail. The average length is about six inches, and the average weight is about three ounces. The endocrine portion of the pancreas is called the isles of Langerhans which are clusters of cells. Three kinds of cells are found here: alpha ce ...
Dietary Fat and Diabetes
Dietary Fat and Diabetes

... • Several things affect how much your blood glucose increases after you eat: – amount of carbohydrate – type of sugar or starch – cooking and food processing – food form – other foods in the meal that slow digestion ...
Czech Republic
Czech Republic

... fat may be more appropriate. If applicable, it is recommended that you carry your own supply of portable carbohydrates in case of any unexpected hypoglycaemia, meal delays or if you dislike the meal offered. Importantly, you may decide to tell a flight attendant at the start of your trip that you ha ...
Type 2 Diabetes - Carlisle Healthcare
Type 2 Diabetes - Carlisle Healthcare

... The reason why you make a lot of urine and become thirsty is because glucose leaks into your urine, which pulls out extra water through the kidneys. As the symptoms may develop gradually, you can become used to being thirsty and tired and you may not recognise that you are ill for some time. Some pe ...
Patient Input Submission to the Common Drug Review, May 2015
Patient Input Submission to the Common Drug Review, May 2015

... The availability of dapagliflozin to offer an alternative treatment option for stabilizing blood glucose is important to patients. Dapagliflozin belongs to a new class of drugs to lower blood glucose through inhibition of subtype 2 sodium-glucose transport protein (SGLT2), which is responsible for a ...
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Artificial pancreas



The artificial pancreas is a technology in development to help people with diabetes automatically control their blood glucose level by providing the substitute endocrine functionality of a healthy pancreas.There are several important exocrine (digestive) and endocrine (hormonal) functions of the pancreas, but it is the lack of insulin production which is the motivation to develop a substitute. While the current state of insulin replacement therapy is appreciated for its life-saving capability, the task of manually managing the blood sugar level with insulin alone is arduous and inadequate.The goal of the artificial pancreas is two-fold:to improve insulin replacement therapy until glycemic control is practically normal as evident by the avoidance of the complications of hyperglycemia, and to ease the burden of therapy for the insulin-dependent.Different approaches under consideration include: the medical equipment approach—using an insulin pump under closed loop control using real-time data from a continuous blood glucose sensor. the bioengineering approach—the development of a bio-artificial pancreas consisting of a biocompatible sheet of encapsulated beta cells. When surgically implanted, the islet sheet will behave as the endocrine pancreas and will be viable for years. the gene therapy approach—the therapeutic infection of a diabetic person by a genetically engineered virus which causes a DNA change of intestinal cells to become insulin-producing cells.
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