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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
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% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
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\usepackage{MnSymbol}           % Symbols
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% Document Info
\author{Nandrews}
\pdfinfo{
  /Title (type-i-and-ii-diabetes.pdf)
  /Creator (Cheatography)
  /Author (Nandrews)
  /Subject (Type I \& II Diabetes Cheat Sheet)
}

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% Header and Footer
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Type I \& II Diabetes Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Nandrews} via \textcolor{DarkBackground}{\uline{cheatography.com/177003/cs/36969/}}}
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\noindent
\begin{multicols}{3}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Nandrews \\
  \uline{cheatography.com/nandrews} \\
  \end{tabulary}
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\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 7th February, 2023.\\
   Updated 7th February, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Type I Diabetes}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Patho}}: autoimmune response, genetic, no insulin production} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{S/S}}: Younger than 35, slimmer, dry skin, fatigue, decreased wound healing} \tn 
% Row Count 4 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Type II Diabetes}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Patho}}: onset is accelerated by obesity and sedentary lifestyle. Insulin resistance, impaired insulin secretion} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Risk Factors}}: Systolic BP \textgreater{}130, Fasting BG \textgreater{}100, Overweight (waist size 35+ Female, 45+ Male), High Cholesterol.} \tn 
% Row Count 6 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Treatment}}: Diet \& Exercise, Oral medication, Insulin} \tn 
% Row Count 8 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Gestational Diabetes}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Placental hormones cause insulin resistance.} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{All women are screened 24-28 weeks gestation.} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{More likely to develop Type II within 10 years.} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Treatment}}: Diet \& Exercise, blood sugar monitoring, insulin} \tn 
% Row Count 5 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

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\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Cholesterol Panel Normals}}  \tn
% Row 0
\SetRowColor{LightBackground}
Total Cholesterol & \textless{} 200 \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Triglycerides & \textless{} 150 \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
LDL & \textless{} 100 \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
HDL & 40+ \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Hypoglycemia}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Patho}}: BG \textless{} 70 mg/dL} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Causes}}: too much insulin or oral hypoglycemic agents, too little food, excessive physical activity} \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Mild S/S}}: sweating, tremor, tachycardia, palpitation, nervousness, and hunger} \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Moderate S/S}}: inability to concentrate, headache, lightheadedness, confusion, memory lapses, numbness of the lips and tongue, slurred speech, ALOC, drowsiness, double vision, emotional changes} \tn 
% Row Count 10 (+ 4)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Severe S/S}}: disoriented behavior, seizures, difficulty arousing from sleep, loss of consciousness} \tn 
% Row Count 13 (+ 3)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Nursing Interventions}}: Immediately treat with 15-20g of simple carbohydrates (ex.juice), Adults w/ BG \textless{}54 or unconscious and can't swallow - inject glucagon IM or SQ, In a hospital setting for pts who are unconscious or can't swallow - admin 25-50mL of D50W} \tn 
% Row Count 19 (+ 6)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Pt Education}}: pattern of eating, medication or insulin admin, emergency simple carbohydrates on hand, high calorie/high fat foods slow the absorption of glucose} \tn 
% Row Count 23 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Hyperglycemia}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Patho}}: BG \textgreater{} 100} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Causes}}: sepsis (infection), stress (surgery), skip insulin, steroids ("sone")} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Treatment}}: Give insulin, antibiotics if necessary, and NS} \tn 
% Row Count 5 (+ 2)
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.09848 cm} x{1.73926 cm} x{1.73926 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{Complications}}  \tn
% Row 0
\SetRowColor{LightBackground}
 & {\bf{DKA}} & {\bf{HHNS}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
 & More common in Type I & More common in Type II \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
{\bf{Onset}} & Rapid (\textless{}24h) & Several days \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
{\bf{Causes}} & Causes- Infection, Surgery, Stress, Stroke, MI, skipping insulin, untreated DM1, steroid use & Causes- Infection, Surgery, Stress, Stroke, MI, medications (ex. thiazides), treatments (ex. dialysis) \tn 
% Row Count 11 (+ 7)
% Row 4
\SetRowColor{LightBackground}
{\bf{Blood Glucose Levels}} & \textgreater{} 250 mg/dL & \textgreater{} 600 mg/dL \tn 
% Row Count 14 (+ 3)
% Row 5
\SetRowColor{white}
{\bf{S/S}} & 3 P's, Kussmaul respirations, fruity breath, blurred vision, weakness, headache, n/v & Hypotension, frequent urination, dehydration, tachycardia, ALOC, seizures \tn 
% Row Count 20 (+ 6)
% Row 6
\SetRowColor{LightBackground}
{\bf{pH}} & \textless{}7.3 (metabolic acidosis) & Normal \tn 
% Row Count 22 (+ 2)
% Row 7
\SetRowColor{white}
{\bf{Urine Ketones}} & Present & Absent \tn 
% Row Count 24 (+ 2)
% Row 8
\SetRowColor{LightBackground}
{\bf{BUN \& Creatinine}} & Elevated & Elevated \tn 
% Row Count 27 (+ 3)
% Row 9
\SetRowColor{white}
{\bf{Nursing Priorities}} & Fluid replacement, correction of electrolyte imbalance, insulin administration & Fluid replacement (Isotonic IV, no LR), correction of electrolyte imbalance, insulin administration \tn 
% Row Count 34 (+ 7)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{5.377cm}{x{1.09848 cm} x{1.73926 cm} x{1.73926 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{Complications (cont)}}  \tn
% Row 10
\SetRowColor{LightBackground}
 & {\bf{Monitor K+ for hypokalemia}} & {\bf{Monitor K+ for hypokalemia}} \tn 
% Row Count 2 (+ 2)
% Row 11
\SetRowColor{white}
{\bf{Nursing Interventions}} & Monitor VS, I\&O, assess for dehydration hourly. Monitor for fluid overload. Monitor for cerebral edema. & Monitor VS, I\&O, assess for dehydration hourly. Monitor for fluid overload. Monitor for cerebral edema. \tn 
% Row Count 9 (+ 7)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}