THE BASICS
TYPES OF DIABETES
HYPO/HYPER
NUTRITION
INSULIN
100

WHAT IS THE HORMONE INVOLOVED WITH DIABETES

INSULIN

100

WHAT IS THE CURRENT TERM FOR WHAT WAS FORMLY KNOWN AS JUVENILE DIABETES

TYPE 1 DIABETES

100

TURE OR FALSE: YOU MUST RECHECK A LOW BLOOD SUGAR WITHIN AN HOUR

FALSE, PER POLICY YOU ARE TO RECHECK WITHIN 30 MIN

100
WHICH HAS MORE CARBS? A BAGEL OR PIECE OF TOAST?
BAGEL
100
HOW OFTEN CAN YOU USE THE CORRECTION DOSE SCALE (SSI)?
EVERY 3 HOURS
200
WHAT IS THE ORGAN INVOLVED WITH DIABETES

PANCREAS

200

TRUE OR FALSE: INACTIVE INDIVIDUALS ARE AT A GREATER RISE OF TYPE 2 DIABETES

TRUE

200

WHAT NUMBER IS CONSIDERED HYPOGLYCEMIA AT AH AND WHAT IS THE RULE FOR CORRECTING A LOW BLOOD SUGAR. 

70 AND THE RULE OF 15.  GIVE 15 GRAMS OF FAST ACTING CARBS AND RECHECK IN 15 MIN.

200

ABOUT HOW MANY CARBS ARE IN THIS BREAKFAST: EGGS AND BACON

ZERO :)

200
LUNCH TRAY ARRIVES 2.5 HRS AFTER GIVING MORNING INSULIN.  HOW WOULD YOU HANDLE THIS?
A COUPLE OPTIONS.  I WOULD WAIT UNTIL IT HAS BEEN 3 HOURS SINCE AM INSULIN SO WE CAN YOU CORRECTION SCALE AND CARB COVERAGE.  BUT IF CHILD IS INCREDIBLE HUNGRY YOU CAN JUST USE CARB COVERAGE. 
300

SYMPTOMS OF THIS INCLUDE THE POLYURIA, POLYDIPSIA AND POLYPHAGIA.  EXCESSIVE URINATION, THIRST AND HUNGER. 

HYPERGLYCEMIA

300

IF YOU ARE INSULIN RESISTENT YOU HAVE WHAT TYPE OF DIABETES

TYPE 2 DIABETES

300

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.  WHAT IS THE MOST LIKELY REASON?

PUMP SITE MALFUNCTION

300

CHILDS BG IS 214 BEFORE BREAKFAST AND THEY ARE EATING 56 GRAMS OF CARBS.       CORRECTION SCALE: 1 UNIT PER 50>150,    <150=0 UNIT, 151-200=1 UNIT, 201-250=2 UNITS CARB COVERAGE : 1 UNIT PER 20 CARBS

 

5 UNITS TOTAL OF INSULIN: 2 FOR BG AND 3 FOR THE FOOD.

300

IT IS 8PM AND MY BG IS 65, SHOULD I STILL TAKE MY LONG ACTING INSULIN

YES

400
SYMPTOMS OF THIS INCLUDE HUNGER, SWEATY, SHAKY/CLAMY HAND, DIZZY, HEADACHE

HYPOGLYCEMIA

400

IF THE DOCTOR EXPLAINS YOU HAVE AUTOIMMUNE DIABETES AND THAT  YOU ARE INSULIN DEFICIENT YOU HAVE WHAT TYPE OF DIABETES?

TYPE 1 DIABETES

400

YOUR PATIENT IS COMPLAINING OF FEELING SHAKY AND HAS A HEADACHE.  WHAT ARE YOU CONCERNED ABOUT AND WHAT ARE YOU GOING TO DO? 

WE WANT TO CHECK BLOOD GLUCOSE AND WE ARE WORRIED THEY MAY BE EXPERIENCING HYPOGLYCEMIA

400

HUMALOG 1unit:25>150 ORDERED AND CARB COVERAGE OF 1unit PER 10 CARBS.  BEFORE DINNER BG IS 355 AND THEY EAT 45 GRAMS OF CARBS.  HOW MUCH INSULIN IS NEEDED.               151-175=1 UNIT, 176-200=2 UNITS, 201-225=3 UNITS, 226-250=4UNITS, 251-275=5UNITS, 276-300=6UNITS, 301-325=7UNITS, 326-350=8UNITS, 351-375=9UNITS

HUMALOG 13 UNITS: 9 FOR CORRECTION SCALE AND PROBABLY 4 FOR FOOD BUT YOU COULD ALSO ROUND UP DEPENDING ON WHAT THEY ATE. 

400
HOW MUCH INSULIN DO I NEED IF CARB RATIO IS 1:10 CARBS AND I'M EATING 73 CARBS?

7 UNITS

500

WHAT IS THE RANGE FOR A HEALTHY PERSON'S BLOOD SUGAR 

70-110 MG/DL

500

WHAT TEST WILL THE DOCTORS COMMONLY ORDER TO DETERMINE TYPE OF DIABETES?

ANTIBODY TESTING

+ pancreatic antibodies are positive with T1D, they may also order GAD65 and insulin autoantibodies

500

KETONES ARE PRESENT IN ______GLYCEMIA? 

HYPERGLYCEMIA

500

HUMALOG 1/2unit:60>200 ORDERED WITH MEALS AND CARB COVERAGE OF 1/2UNIT PER 20 CARBS. CHILD BG 265 BEFORE LUNCH AND HE ATE 45 GRAMS OF CARBS.  HOW MUCH INSULIN IS NEEDED. 

2 UNITS OF HUMALOG INSULIN: 1 UNIT FOR GB AND 1 FOR THE CARBS

500

TRUE OR FALSE: IT IS MORE EFFECTIVE AND BEST PRACTICE TO GIVE INSULIN BEFORE A MEAL.

TRUE

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