糖尿病护理查房（Diabetes care rounds）.docVIP

糖尿病护理查房（Diabetes care rounds） Nurse: diabetes (diabetes mellitus DM) is a group of metabolic diseases, is mainly due to defects in insulin secretion and insulin action, or both are caused by the metabolic disorder of sugar, protein, fat, water and electrolyte and a series of clinical material, characterized by high blood sugar, prolonged illness can cause more damage to the systems. Diabetes mellitus (DM) is the fourth largest human harmful diseases, strengthen nursing and education on diabetes patients, in order to reduce or avoid long-term diabetes complications, improve the patients quality of life is facing the challenge of community nursing. Today, nursing rounds are conducted with 45 bed patient Du Xianzhen as an example to discuss the care of diabetic patients. Ask the responsible nurse for medical history first. Head nurse: who will answer the diagnostic criteria for diabetes? Huang Liang: who meet one of the following criteria for the diagnosis of diabetic: fasting blood sugar was more than 7.0mmol / L, 2H postprandial blood glucose was more than 11.1mmol / L. The symptoms of diabetes, blood glucose at any time more than 11.1mmol / L can be diagnosed as diabetes. The OGTT test 2H blood glucose over 11.1mmol / L. Head nurse: the pathogenesis of diabetes mellitus Zhu Limei: diabetes mellitus, regardless of type I or type II, is determined by genetic factors, and interacts with environmental factors such as infection and obesity, resulting in relative or absolute lack of insulin activity. At present, the pathogenesis of type I diabetes autoimmunity: genetic and environmental factors such as viruses and / or chemical toxins on type I diabetes susceptible (with type I diabetes and the incidence of HLA related antigens such as HLA, DR3, ICA / DR4 and IAA type I diabetes, autoimmune markers of individuals) the islet cell surface B, abnormal expression of HLA DR antigen, leading to pancreatic islet B cell surface antigen structure change, activation of T cells caus