This is a very simply rundown of diabetes. The diabetes information on the ambulatory care board exam is more complex. Knowing the basics of how to diagnose diabetes, goals, how to change insulin and which drugs not to use in which patients is probably enough for the BCPS. Pre-Diabetes Fasting Plasma Glucose: 100-125 mg/dl 2-hour […]
diabetes
Ketoacidosis
Ketoacidosis is more common in type 1 diabetes than in type 2. The goal treatment is to stop ketosis, not to normalize glucose. Common symptoms: polyuria, polydipsia, vomiting, dehydration, weakness, altered mental status, coma, abdominal pain, Kussmaul respirations, tachycardia, hyponatremia, hyperkalemia Treatment: Fluid replacement: start with 0.45-0.9% NS, change to 5% dextrose or dextrose containing saline […]