Endocrine & Mental Health: Key Conditions & Treatments
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Diabetes Mellitus Essentials
- Type 1: Autoimmune, insulin-dependent, early onset.
- Type 2: Insulin resistance, gradual onset, linked to diet/weight.
- Diagnosis: Fasting glucose >126 mg/dL, HbA1c.
- Metformin: Hold before contrast dye; risk of lactic acidosis.
Hypoglycemia vs. Hyperglycemia
- Hypoglycemia (<70 mg/dL): Shaky, sweaty, confused, hungry.
- Hyperglycemia: Headache, nausea, fruity breath.
- Treatment: Juice/glucose if conscious; glucagon or D50 if unconscious.
Insulin Types and Administration
- Rapid-acting (Lispro): Onset 10–15 min, eat immediately after injection.
- Short-acting (Regular): Onset 30–60 min.
- Intermediate-acting (NPH): Peak 4–12 hr (cloudy appearance).
- Long-acting (Glargine): No peak, lasts 24 hr.
- Mixing Insulin: Clear (Regular) before