NURSING 3PF1 Lecture Notes - Lecture 3: Neuroglycopenia, Peripheral Artery Disease, Diabetic Neuropathy
16 Jul 2018
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Note: triggers or underlying etiology often includes concurrent illness and factors related to the management of plasma glucose levels, including noncompliance with diet or pharmacology therapy or side effects of pharmacological therapy. Macrovascular: cerebrovascular disease; peripheral vascular disease (pvd); coronary artery disease (cad) Note: chronic hyperglycemia and the resultant metabolic events have been associated with the underlying etiology of chronic complications of diabetes. There are several theories to describe the metabolic mechanisms that are associated with the tissue-damaging effects of chronic hyperglycemia and the resultant diabetic complications. Plasma glucose varies based on last meal, but homeostatic mechanisms of the body generally maintain glucose < 6. 0mmol/l. Bg levels 2. 5-3. 3 mmol/l; < 4mmol/l in diabetic patients treated with insulin or an insulin secretagogue. Short term: safety related; i. e. it would be unsafe if an individual experienced a hypoglycemia while driving or operating machinery; prolonged coma can be associated with transient neurological symptoms (paresis, convulsions and encephalopathy)
