NURS 530 Discussion effects of hyperglycemia
NURS 530 Discussion effects of hyperglycemia
NURS 530 Discussion effects of hyperglycemia
DQ1 Select one of the following discussion prompts to address:
Consider the long-term effects of hyperglycemia as seen in poorly controlled diabetes. Consider factors that lead to good or poor compliance in regimens designed to decrease hyperglycemia and improve health outcomes in diabetics. Review this article and identify the key factors that can interfere with compliance.
Describe the pathophysiology, clinical manifestations, evaluation, and treatment of two diseases of the posterior pituitary–syndrome of inappropriate antidiuretic hormone secretion (SIADH) and diabetes insipidus (DI).
Discuss Grave’s Disease and the systemic manifestations and treatment of hyperthyroidism. Describe the pathophysiology, clinical manifestations, evaluation, and treatment of hypothyroidism.
DQ2 Select one of the following discussion prompts to address:
Describe the pathophysiology, clinical manifestations, evaluation, and treatment of polycystic ovary syndrome (PCOS).
Discuss common causes of galactorrhea and describe the pathophysiology, clinical manifestations, evaluation, and treatment of galactorrhea.
Describe benign prostatic hypertrophy (BPH) and discuss the pathogenesis, clinical manifestations, evaluation, and treatment of BPH.
Hyperglycemia doesn’t cause symptoms until glucose values are significantly elevated — usually above 180 to 200 milligrams per deciliter (mg/dL), or 10 to 11.1 millimoles per liter (mmol/L). Symptoms of hyperglycemia develop slowly over several days or weeks. The longer blood sugar levels stay high, the more serious the symptoms become. However, some people who’ve had type 2 diabetes for a long time may not show any symptoms despite elevated blood sugar levels.
Early signs and symptoms
Recognizing early signs and symptoms of hyperglycemia can help you treat the condition promptly. Watch for:
- Frequent urination
- Increased thirst
- Blurred vision
- Fatigue
- Headache
Later signs and symptoms
If hyperglycemia goes untreated, it can cause toxic acids (ketones) to build up in your blood and urine (ketoacidosis). Signs and symptoms include:
- Fruity-smelling breath
- Nausea and vomiting
- Shortness of breath
- Dry mouth
- Weakness
- Confusion
- Coma
- Abdominal pain
When to see a doctor
Call 911 or emergency medical assistance if:
- You are sick and can’t keep any food or fluids down
- Your blood glucose levels are persistently above 240 mg/dL (13.3 mmol/L) and you have ketones in your urine
Make an appointment with your doctor if:
- You experience ongoing diarrhea or vomiting, but you’re able to take some foods or drinks
- You have a fever that lasts more than 24 hours
- Your blood glucose is more than 240 mg/dL (13.3 mmol/L) even though you’ve taken your diabetes medication
- You have trouble keeping your blood glucose within the desired range