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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
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% Document Info
\author{That\_\_nurse}
\pdfinfo{
  /Title (diabetes-mellitus.pdf)
  /Creator (Cheatography)
  /Author (That\_\_nurse)
  /Subject (Diabetes Mellitus Cheat Sheet)
}

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% Header and Footer
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \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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\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Diabetes Mellitus Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{That\_\_nurse} via \textcolor{DarkBackground}{\uline{cheatography.com/154639/cs/33137/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}That\_\_nurse \\
  \uline{cheatography.com/that-nurse} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 14th July, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
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\columnbreak
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

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% 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}{Insulin}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Insulin is produced in the Islet of Langerhans of the pancreas} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Normal blood glucose: 4 to 6 mmol/L}}} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Release of insulin leads to the transportation of glucose from the bloodstream into the cell.} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Rise of insulin leads to storage of glycogen in the liver  and inhibits gluconeogenesis} \tn 
% Row Count 7 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Etiology}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{A disorder of glucose metabolism related to absence or deficient insulin supply or poor utilization of insulin.} \tn 
% Row Count 3 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{0.82386 cm} x{1.87657 cm} x{1.87657 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{Pathophysiology}}  \tn
% Row 0
\SetRowColor{LightBackground}
\seqsplit{Factors} & Type 1 & Type 2 \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\seqsplit{Primary} defect & Absent or minimal insulin production due to autoimmune process & Insulin resistance, decreased insulin production and alteration in production of adipokines \tn 
% Row Count 7 (+ 6)
% Row 2
\SetRowColor{LightBackground}
Age & Common in young people but can occur at any age & Greater than 35 but can occur at any age \tn 
% Row Count 10 (+ 3)
% Row 3
\SetRowColor{white}
Type of onset & Abrupt signs and symptoms & Insidious and can go undiagnosed for years \tn 
% Row Count 13 (+ 3)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Nutritional} Status & Thin, normal and Obese & Obese oe normal \tn 
% Row Count 16 (+ 3)
% Row 5
\SetRowColor{white}
\seqsplit{Symptoms} & Thirst, Polyuria, Polyphagia, Fatigue, Weight loss & Frequently none, fatigue, recurrent infections \tn 
% Row Count 20 (+ 4)
% Row 6
\SetRowColor{LightBackground}
\seqsplit{Insulin} & Required for all & Some \tn 
% Row Count 21 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\SetRowColor{LightBackground}
\mymulticolumn{3}{x{5.377cm}}{Summary of Diabetes Mellitus}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Prediabetes}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{AKA Impaired glucose tolerance or impaired fasting glucose} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Noted when fasting glucose is higher than normal but lower than DM.} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Usually do not have symptoms however, the A1c should be tested regularly} \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Reducing risk by eating healthy, maintaining a healthy weight and exercising regularly} \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}{Secondary Diabetes}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{DM caused by another medical condition or a treatment of a medical condition.} \tn 
% Row Count 2 (+ 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 1 Diabetes Mellitus}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{This occurs from the gradual destruction of pancreatic beta cells by an autoimmune process either directly or indirectly.} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{It can either be Type 1a (immune) or Type 1b (idiopathic)} \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Manifestations}} occur when the pancreas can no longer produce insulin which justifies the abrupt onset.} \tn 
% Row Count 8 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{The classic symptoms are polydipsia, polyuria and polyphagia} \tn 
% Row Count 10 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Outside supply of insulin is required or diabetic ketoacidosis can be developed} \tn 
% Row Count 12 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Other symptoms include weakness and fatigue and change in visual acuity.} \tn 
% Row Count 14 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\emph{Polydipsia is as a result of osmotic concentration of glucose in the body.}} \newline {\emph{Polyphagia is caused by cellular malnourishment from lack of energy which means the cells do not get glucose to convert to ATP.}} \newline {\emph{Weight loss occurs the body turns to other sources such as fat and protein for strength.}} \newline {\emph{Weakness and fatigue from energy loss }}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Diagnostics Studies}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Glycalated Hemoglobin A1c greater than or equals to 6.5\%} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Fasting blood glucose level greater than or equals to 7.0 mmol/L} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Random plasma glucose greater than or equal to 11.1 mmol/L} \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Two hour plasma glucose in a 75G OGTT greater than or equal to 11.1mmol/L} \tn 
% Row Count 8 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{*A1c test indicates the level of glucose over a particular time. It should be done every 3-6 months.}  \tn 
\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}}{Occurs during pregnancy.} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Detected between 24 and 28 weeks of pregnancy,} \tn 
% Row Count 2 (+ 1)
\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 2 DM}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Most powerful risk factor is obesity.} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Endogenous insulin is still produced by the body. However, the insulin is either insufficient, poorly utilized or both.} \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{There are four major factors that play a role in the development of DM2.} \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{1. Insulin resistance as a result of unreceptive receptors, insufficient receptors or both. Both hyperglycaemia and hyperinsulinemia occurs as the body tries to decrease glucose by increasing insulin production,} \tn 
% Row Count 11 (+ 5)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{2. A significant decrease in the ability of the pancreas to produce insulin.} \tn 
% Row Count 13 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{3. Inappropriate glucose production by the liver which leads to increased glucagon production which stimulates the glucose production in liver. In total increasing sugar level.} \tn 
% Row Count 17 (+ 4)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{4. Alteration  hormones and cytokines production by adipose tissues.} \tn 
% Row Count 19 (+ 2)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Onset of disease is gradual.} \tn 
% Row Count 20 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Diabetic ketoacidosis complication can be prevented with a sufficient endogenous supply. However osmotic and electrolyte loss can become severe and cause hyperosmolar and hyperglycaemic state.} \tn 
% Row Count 24 (+ 4)
% Row 9
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Manifestations}} Nonspecific and not limited to fatigue, recurrent infections, prolonged wound healing, visual acuity changes, and painful neuropathy of the feet.} \tn 
% Row Count 28 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Diabetic ranges}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/that-nurse_1657783599_DiagnosticCriteriaPrediabetes.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


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

\end{document}