Carb Counting
How many grams of carbs in 1 exchange?
15 grams
What is the most common sign/symptom of diabetes?
Hyperglycemia
Name 2 of the 4 types of insulin
rapid
regular/short
intermediate
long-acting
Name 3 labs associated with the kidneys
BUN/CR/NA/K/Phos
How many grams of carbs are typically prescribed for the HS snack?
15-30 grams
A cheeseburger has how many grams of carbs?
30
To diagnose DM, you would find an A1C over?
>6.5%
Insulin detemir is what kind of insulin?
long-acting
Half-life of albumin
~ 3 weeks
A "normal" size banana has approx. how many grams of CHO?
2 cups of brown rice has how many grams of carbs?
90 grams
What kind of insulin typically goes into an insulin pump?
Long Acting/Basal Insulin
A starting recommendation for a non-ketotic Type 1 DM pt who weighs 176lbs should be started on how many units of insulin per day.
~48 units of insulin per day
Name 3 labs associated with the liver
AST/ALT/Alk Phos, Direct/Indirect Bilirubin
Prior to exercise, a DM pt checks their BG level. At what BG level would you advise the pt not to exercise?
>250 BG level or if ketones are present
Mr. P is on a 1500kcal diet and wants to eat 50% of calories from carbs. How many carb exchanges will I have for the day?
12-13 CHO exchanges
What test can you use to differentiate type 1 vs type 2 diabetes?
autoantibody tests
What is the dawn phenomenon?
AM hyperglycemia due to increased cortisol/HGH spiking in the morning.
High MCV
Low H/H
Low albumin
What kind of anemia does this person have?
Macrocytic anemia
What supplement would you recommend for someone who has burns/wounds?
Juven
How many grams of carbs are in this meal?
-1 cup cooked veggies -1 cup whole milk
-6oz sirloin steak -1 medium banana
52g
My BG is 170 before my 1-hour run, what is an example of a food I should eat?
anything with ~ 15g CHO
How can you tell the difference between the Somogyi Effect and the Dawn Phenomenon?
Check blood sugar between 2-3 AM
-If BG is low-> Somogyi effect
-If BG is normal-> Dawn Phenomenom
A pt presents with the following labs:
-Low albumin -High CRP -Total cholesterol: 250
-Triglycerides: 225 -High BUN -High Cr
What kind of malnutrition, if any, does this pt have?
Disease-related malnutrition
If a drink alcohol in a fed state, how do you expect your BG levels to respond?
Slightly rise