THE BASICS
THE HORMONE INVOLOVED WITH DIABETES
WHAT IS INSULIN?
FORMALY KNOWN AS JUVENILE DIABETES
WHAT IS TYPE 1 DIABETES?
A LOW BLOOD SUGAR MUST BE RECHECKED WITHIN A CERTAIN NUMBER OF MINUTES
WHAT IS 30 MINUTES? (PER POLICY)
THE BODY'S MAIN SOURCE OF ENERGY AND SHOULD BE INCLUDED IN EVERY MEAL
WHAT ARE CARBOHYDRATES?
THIS INSULIN IS APPROPRIATE FOR CORRECTION SCALE COVERAGE AND CARB COVERAGE
WHAT IS FAST-ACTING INSULIN?
HUMALOG/NOVOLOG
THE ORGAN INVOLVED WITH DIABETES
WHAT IS THE PANCREAS?
INACTIVE INDIVIDUALS ARE AT A GREATER RISK OF TYPE 1 OR TYPE 2 DIABETES
WHAT IS TYPE 2 DIABETES?
WHAT IS THE RULE 15
PROVIDE 15 GRAMS OF CARBS AND RECHECK IN 15 MIN.
THE AMOUNT OF CARBS IN A BREAKFAST OF EGGS AND BACON
WHAT IS ZERO CARBS?
INSULIN NORMALLY TAKEN ONCE A DAY
LEVEMIR, LANTUS, TRESIBA
THE RANGE FOR A HEALTHY PERSON'S BLOOD SUGAR
WHAT IS 70-110 MG/DL?
INSULIN RESISTANT DIABETES
WHAT IS TYPE 2 DIABETES?
PATIENT WAS TRANSFERRED TO THE FLOOR AFTER INSULIN PUMP WAS RESTARTED. BG BEFORE BREAKFAST WAS 140 AND BOLUS WAS GIVEN VIA PUMP. LUNCH BG IS READING HIGH >400. THE HIGH BLOOD GLUCOSE COULD RESULT FROM
WHAT IS A PUMP SITE MALFUNCTION?
DOSE AND TYPE OF INSULIN NEEDED:
1unit:50>150 ORDERED WITH MEALS
1unit:20 GRAMS OF CARBS.
CHILDS BG IS 214 BEFORE BREAKFAST AND THEY ARE EATING 56 GRAMS OF CARBS.
WHAT IS 5 UNITS TOTAL OF HUMALOG INSULIN?
2 FOR BLOOD GLUCOSE AND 3 FOR CARBOHYDRATES.
INSULIN NEEDED AT BEDTIME EVEN IF BLOOD GLUCOSE IS 85
DO NOT EVER SKIP THIS INSULIN REGARDLESS OF BLOOD GLUCOSE
GLUCOSE MEASURED THROUGH INTERSTITIAL FLUID
WHAT IS CONTINUOUS GLUCOSE MONITOR?
INSULIN DEFICIENT/AUTOIMMUNE DIABETES
WHAT IS TYPE 1 DIABETES?
SYMPTOMS OF HYPOGLYCEMIA AND HOW TO CORRECT
WHAT IS SHAKY, STARVING, SWEATY, SLEEPY, CRANKY, SPACEY, HEADACHE?
WHAT IS 15 GRAMS OF CARBOHYDRATES (QUICK SUGAR....4 OZ JUICE, 4 OZ REGULAR SODA, 2-3 STARBURST, GLUCOSE TABS, 10-15 SKITTLES)?
DOSE AND TYPE OF INSULIN NEEDED:
1unit:25>150 ORDERED
1unit PER 10 GRAMS OF CARBS.
BEFORE DINNER BG IS 355
THEY EAT 45 GRAMS OF CARBS.
WHAT IS 13 UNITS OF HUMALOG INSULIN?
9 UNITS FOR BLOOD GLUCOSE
PROBABLY 4 FOR FOOD BUT YOU COULD ALSO ROUND UP DEPENDING ON WHAT THEY ATE.
FAST ACTING INSULIN SHOULD BE ADMINISTER _____ MEALS
BEST PRACTICE STATES BEFORE MEALS WHEN APPROPTIATE
THE TEST THAT MEASURES THE AVERAGE GLUCOSE OVER A 3 MONTH PERIOD
TESTING COMMONLY ORDERED TO DETERMINE TYPE OF DIABETES
WHAT IS ANTIBODY TESTING?
antipancreatic islet cells are positive with T1D, they may also order GAD65 and insulin autoantibodies
THE BLOOD GLUCOSE IS TOO _____ WHEN KETONES SPILL IN THE URINE
WHAT IS HIGH BLOOD SUGAR
DOES AND TYPE OF INSULIN NEEDED:
1/2unit: 60>200 FOR BLOOD GLUCOSE
1/2 UNIT PER 20 GRAMS OF CARBS.
CHILD BLOOD GLUCOSE 265 BEFORE LUNCH
HE ATE 45 GRAMS OF CARBS.
WHAT IS A TOTAL OF 2 UNITS OF HUMALOG INSULIN?
1 UNIT FOR GB AND 1 FOR THE CARBS
SLIDING SCALE INSULIN CAN BE USED FOR CORRECTION EVERY ____ HOURS
WHAT IS 3 HOURS?