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DM I, Nursing Interventions: Nutritional therapy Insulin Education Blood glucose testing Discuss lifestyle changes Instruct client on s&s of complications to report to the physician. Medical Diagnosis DM I Signs & Symptoms: History of sudden wt loss, polydipsia, polyuria, and polyphasia. Weakness and fatigue, Ketoacidosis, Elevated blood glucose levels., Nursing Interventions: Nutritional therapy Insulin Education Blood glucose testing Discuss lifestyle changes Instruct client on s&s of complications to report to the physician. Medical Diagnosis DM I Pathophysiology: Type I DM is the end result of a long standing process where the bodys own T cells attack and destroy the pancreatic B cells. In addition, autoantibodies to the islet cells cause a reduction of 80-90% of the b cell functin before hyperglycemia and other manifestations occur. A genetic predisposition and exposure to a virus are factors that may contribute to the pathogenesis of type I DM. Usually onset occurs before the age of 30. Also called insulin dependant DM., Nursing Interventions: Nutritional therapy Insulin Education Blood glucose testing Discuss lifestyle changes Instruct client on s&s of complications to report to the physician. Medical Diagnosis DM I Diagnostic Procedures & Medications: Fasting plasma glucose level 3x's Random plasma glucose measurement Two hour GTT Fasting plasma glucose test HbA1cɳ,0% Hystory and Physical Urine for microalbuminuria and acetone ECG BP Insulin: Rapid acting: Lispro Short acting:regular Intermediate acting: NPH Long acting: glargine, detemir, Nursing Interventions: Nutritional therapy Insulin Education Blood glucose testing Discuss lifestyle changes Instruct client on s&s of complications to report to the physician. Medical Diagnosis DM I Complications: DKA, Stroke, Dermopathy, Lipodystrophy d/t insulin injections, Somogyi Effect, Atheroclerosis, HTN, Dawn Phenomenon, CAD, Gastroparesis Allergic reactions, PVD, Gangrene, ED, Retinopathy, Infections, Neurogenic bladder, Impaired wound healing, hypoglyccemia angoiapathy, Peripheral neuropathy, Nephropathy, Cataracts, Glaucoma, Blindness, Nursing Interventions: Nutritional therapy Insulin Education Blood glucose testing Discuss lifestyle changes Instruct client on s&s of complications to report to the physician. Medical Diagnosis DM I Risk Factors: First degree relative with DM. Type 1 diabetes occurs equally among males and females but is more common in whites than in non-whites., Nursing Interventions: Nutritional therapy Insulin Education Blood glucose testing Discuss lifestyle changes Instruct client on s&s of complications to report to the physician. Medical Diagnosis DM I Possible Nursing Dx: Risk for peripheral Neurovascular dysfunction Risk for Injury related to decreased tactile sensation and episodes of hypoglycemia. Ineffective Theraputic regimen management. Imbalanced nutrition: more than body requirements.