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% Document Info
\author{That\_\_nurse}
\pdfinfo{
  /Title (diabetes-therapy.pdf)
  /Creator (Cheatography)
  /Author (That\_\_nurse)
  /Subject (Diabetes  Therapy Cheat Sheet)
}

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% Header and Footer
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\noindent
\begin{multicols}{3}
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    {\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{Diabetes  Therapy Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{That\_\_nurse} via \textcolor{DarkBackground}{\uline{cheatography.com/154639/cs/33146/}}}
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\noindent
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}That\_\_nurse \\
  \uline{cheatography.com/that-nurse} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 23rd July, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
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  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\begin{document}
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% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{x{2.9862 cm} x{1.9908 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\bf{Types of Insulin and Examples}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
Rapid-acting analogue & Lispro, Aspart, Glulisine \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Short-acting (clear) & Regular (Humulin R) \tn 
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% Row 2
\SetRowColor{LightBackground}
Intermediate-acting (cloudy) & NPH \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
Extended Long-acting analogue (clear) & Lantus \tn 
% Row Count 8 (+ 2)
% Row 4
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\mymulticolumn{2}{x{5.377cm}}{Premixed} \tn 
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\mymulticolumn{2}{x{5.377cm}}{{\emph{Intermediate insulin is the only insulin that can be mixed with short or rapid insulin.}} \newline {\emph{When preparing mixed insulin it is important to draw the short insulin first before the intermediate insulin to prevent contamination due to the cloudy nature.}} \newline {\emph{Insulin is administered subcutaneously, insulin pen or IV with supervision.}} \newline {\emph{Preferred site is the abdomen and should be rotated within that particular site.}}}  \tn 
\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}{Problems with Insulin Therapy}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Hypoglycemia} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Allergic reactions} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Lipodystrophy: Hypertrophy or atrophy of subcutaneous tissue} \tn 
% Row Count 4 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Somogyi Effect: High blood glucose level in the morning which leads to an increased dose of insulin given and further decreases the blood glucose level due to too much insulin} \tn 
% Row Count 8 (+ 4)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Dawn Phenomenon: Hyperglycemia present when an individual wakes up in the morning. Seems to be severe with growth hormone present.} \tn 
% Row Count 11 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.46464 cm} x{1.55618 cm} x{1.55618 cm} }
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\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{Common Oral Antihyperglycemic Agents}}  \tn
% Row 0
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 & Primary Function & Common examples \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Insulin \seqsplit{Secretagogues/} \seqsplit{Sulphonylureas} & Increase beta-cell insulin production from the pancreas & Gliclazide \tn 
% Row Count 7 (+ 5)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Meglitinides} & Increase insulin production from the pancreas & Repaglinide \tn 
% Row Count 11 (+ 4)
% Row 3
\SetRowColor{white}
Biguanides & Reduce glucose production by the liver. Increase the sensitivity at the tissue level and improves glucose transport. & Metformin (Only examples in this class) \tn 
% Row Count 20 (+ 9)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\SetRowColor{LightBackground}
\mymulticolumn{3}{x{5.377cm}}{{\emph{Metformin does not lead to weight gain}}}  \tn 
\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}{Nutritional Therapy}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Type 1 DM food intake is based on increasing caloric intake to ensure desirable body weight and restore body tissues.} \tn 
% Row Count 3 (+ 3)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{Type 2 DM is more of weight loss.} \tn 
% Row Count 4 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Major points are to eating three meals per day at regular times and no more than 6 hours apart.} \tn 
% Row Count 6 (+ 2)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{Limiting sugar, sweets, high fat food and eating more high fibre foods.} \tn 
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% Row 4
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\mymulticolumn{1}{x{5.377cm}}{Drinking water if thirsty and more physical activity.} \tn 
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\mymulticolumn{1}{x{5.377cm}}{Glycemic Index and percentages of food classification should be considered} \tn 
% Row Count 12 (+ 2)
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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}{Exercise}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Exercise increases insulin sensitivity and has a direct impact on decreasing blood glucose.} \tn 
% Row Count 2 (+ 2)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{A total of 150 minutes of moderate intensity aerobic activity over 3 days} \tn 
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\mymulticolumn{1}{x{5.377cm}}{However, with patients on insulin there is an increased risk of hypoglycemia with exercise.} \tn 
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\mymulticolumn{1}{x{5.377cm}}{It can last for 48 hours. Exercise should  be scheduled I hour after a meal or snack should be taking before exercise.} \tn 
% Row Count 9 (+ 3)
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.68655 cm} x{1.92234 cm} x{1.96811 cm} }
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\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{Acute Complications of DM}}  \tn
% Row 0
\SetRowColor{LightBackground}
 & Hyperglycemia & Hypoglycemia \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\seqsplit{Manifestations} & Abdominal cramps, blurred vision, glycosuria, headache, increased appetite, polyuria, nausea, vomiting, progression to DKA or HHS, weakness and fatigue & Blood glucose less than 4.0, vision changes, cold and clammy skin, faintness, dizziness, headache, hunger, numbness of fingers, toes and mouth, rapid heart beat, seizures, coma, unsteady gait and slurred speech. \tn 
% Row Count 14 (+ 13)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Manifestations} & Abdominal cramps, blurred vision, glycosuria, headache, increased appetite, polyuria, nausea, vomiting, progression to DKA or HHS, weakness and fatigue & Blood glucose less than 4.0, vision changes, cold and clammy skin, faintness, dizziness, headache, hunger, numbness of fingers, toes and mouth, rapid heart beat, seizures, coma, unsteady gait and slurred speech. \tn 
% Row Count 27 (+ 13)
% Row 3
\SetRowColor{white}
\seqsplit{Causes} & Corticosteroids, stress, illness, infection, poor absorption or lack of insulin, too much food, too little insulin. & Alcohol intake without food, diabetic medication taken at the wrong time, loss of weight, too little food, too much diabetic medication, too much exercise, use of beta adrenegic blockers. \tn 
% Row Count 38 (+ 11)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Diabetic Ketoacidosis}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Overview:}} This is an acute metabolic complication of DM. This is because of lack of insulin the body breaks down fat.} \tn 
% Row Count 3 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


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

\end{document}