In: Nursing
Describe the steps that occur when the blood glucose is greater than 180 mg/dl.
Describe the steps that occur when the blood glucose is greater than 189 mg/dl?
What is the meaning of hyperglycemia ?
A high blood sugar ,an elevated level specifically of the sugar glucose in the blood .hyperglycemia is often found In a diabetes mellitus.
Diabetes mellitus there are two types ,type 1 and type 2.
In diabetes the pancreas does not prepare enough insulin that is type 1.
Body cannot respond normally to the insulin that is made type 2 diabetes mellitus.
Hyperglycemia causes symptoms that a person will either detect during self monitoring or notice on other ways,
* Blood glucose levels higher than 130 mg/dl
2 hours after the start of a meal
* frequently needing to pass urine
* Feeling thirsty more often
* a higher than average volume of glucose in the urine
* in explained weight loss
* sudden vision changes
* tingling & numbness on the hands and feet
* Dry skin ,recurrent infection on the skin and UTI
* poor wound healing
* others signs and symptoms are associated with complication of DM.
* Ployphogia :excessive hunger and eating .when the insulin levels are decreased or there is insulin resistance,the cells of the body do not get enough sugar ,and hunger developes.
* Poly depsia: increased thirst is due to high blood glucose that raises the osmolarity of blood and makes it more concentrated.
Polyuria: increased frequency of urination is due to excess fluid intake and glucose - induced urination.
* un explained weight loss: weight loss occurs due to loss of calories in urine.
* Sudden vision changes: - damage to blood vessels in the back of eye ,leads to vision loss and possible blindness.
* tingling and numbness hands and feet:- high blood sugar can cause diabetic neuropathy ,which damage the nervous that send signals from your hands and feet.
* Dry skin ,recurrent infection of the skin and UTI:
The ability of the white blood cells to fight of infections is also decreased in the face of elevated blood sugar .Decreased blood circulation can lead to changes in the skin' s collagen.
Diabetes are prone to urinary tract infections badder issues and sexual dysfunction.
* poor wound healing:
People with un controlled diabetes may develop poor circulation .As circulation slows,down ,old moves more slowly,which makes it more difficult for the body to deliver nutrients to wounds.As a result ,the injuries heal slowly or may not heal at all.
* other complications are,
1 . cardio vascular disease : diabetes can damage your blood vessels and nervous that control your heart and blood vessels.the longer you have diabetes, the higher the chance that you will develop heart diseases.
2. Nerve damage : uncontrolled high blood sugar damages the nerves and interferes with their ability to send signals,leading to diabetic neuropathy.high blood sugar also weakens the wall of the small blood vessels ( capillaries) that supply the nerve with oxygen and nutrients.
3 . kidney damage: Diabetic neurolathy is a common complication of type 1 and type 2 diabetes. Overtime,poorly controlled diabetes can cause damage to blood vessel clusters in your kidneys that filter waste from your blood.this can lead to kidney damage and cause high blood pressure.
4. Eye Damage :vision loss and blindness in diabetes patient.it affect blood vessels in the retina.
5. Brain damage - stroke: uncontrolled glucose levels it happen to the brain damage.in pathological changes in blood vessels at various location and can Iead to stroke if cerebral vessels are directly affected.
Diabetes patient needs to do every day
* take the tablet and insulin ,diet as per the advice of doctor
* monitor blood sugar and blood pressure
* maintain hygenic take care of feet
* Do the exercise daily
* practice yoga ,meditation.