Kinesiology 2236A/B Lecture 6: Lecture 6
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Type 1 diabetes: type 1 10% - insufficient insulin, aka. Juvenile diabetes: problem: pancreas fails to produce enough endogenous insulin, ca(cid:374)"t get sugar out of (cid:271)lood a(cid:374)d i(cid:374)to (cid:272)ells, filtered out by kidneys, leads to dependence on exogenous insulin have to provide them insulin. Type 2 diabetes: type 2 90% Inadequate insulin produced by the pancreas and/or significant resistance at the cellular level: defect in signaling glut-4 re(cid:272)eptors so they do(cid:374)"t a(cid:272)(cid:272)ept i(cid:374)suli(cid:374) Typical presentation: major signs and symptoms of hypoglycemia and hyperglycemia are similar, altered level of consciousness, dizzy, drowsy and/or confused, rapid breathing, rapid pulse, feeling ill. Management: ask if they have eaten or taken insulin, give sugar. Juice: hard candy, glucose tablets, non-diet soft drinks, monitor 5 minutes. If hypoglycemic, they will improve: no harm in giving them more sugar. If hyperglycemic, there will be no change: refer for advanced emergency medical care, because they cant get glucose into their cells.