DM, DI, SIADH, insulin, DKA, HHS

DM vs DI

polyuria, polydipsia, dehydration
DI d/t low ADH - fluid
DM d/t glucose

SIADH

high ADH, water retention, hyponat

urine relationship to urine specific gravity

less UO - high specific
high UO - low specific

type 1 tx

DIE: diet, insulin (most imp), exercise

type 2 tx

DOA: diet (most imp), oral hypogly, activity

diet tx

calorie restrict (best)
small freq feeds

reg insulin

onset 1, peak 2, duration 4
OK IV drip

nph insulin

onset 6, peak 8-10, duration 12

humalog, lispro

onset 15, peak 30, duration 3
give with meals

DKA

cause by acute viral upper resp inf, stress - hypergly
s/s: dehydration, kussmaul, ketones, hyperkal, met acid, fruity breath, GI s/s
tx: rapid IV NS, insulin