Signs and Symptoms
Exercise
Blood Glucose Monitoring
Emergency Protocols
100

Symptom of hyperglycemia

What is increased thirst or polydipsia, increased appetite or polyphagia, and increased urination or polyuria

100

Your type I diabetes patient notes her continuous glucose monitor reads 251.  What should you do?

What is discontinue exercise

100

What is the recommended way to test for ketones?

What is using a urine or blood ketone test at home

100

When should a physician be notified of hyperglycemia?

When blood glucose is consistently high or worsening despite management

200

What is the fasting glucose number that indicates that the patient is hyperglycemic

What is >250

200

What is the best way to treat type II diabetes

What is weight loss, increased physical activity and balanced diet

200

Why should a glucometer be checked for malfunction?

What is preventing incorrect readings that could misguide treatment?

200

When should a Medical Assist be called at x4560?

When a patient’s condition worsens or blood sugar continues rising

300

The difference between Type I and Type II Diabetes? 

Type I is autoimmune and natural immunity destroys the ability to naturally produce insulin. Type II is hormonal and is considered insulin resistance. 

300

For a patient with type II and a fasting glucose of 300, why should BG be reassessed 15 minutes after starting exercise?

What is to closely monitor if pt has a spike in glucose and if exercise should be terminated

300

What BG level requires postponing exercise for type 1 diabetics?

What is a postprandial BG > 300 mg/dL?

300

Why should an endocrinologist be consulted for medication adjustments?

What is ensuring the correct balance of insulin, diet, and activity

400

What does D for disability stand for in an ABCD mnemonic?

What is disability

400

Why must higher-intensity exercise be postponed until BG < 250 mg/dL?

What is the risk of increasing blood glucose further due to stress hormones

400

What signs suggest a blood glucose monitor is malfunctioning?

What are inconsistent readings, errors, or unusually high/low

400

What symptoms of hyperglycemia require immediate medical attention

What are nausea, vomiting, confusion, extreme thirst, and shortness of breath

500

What lab test is indicated if a patient complains of dizziness? 

What is blood glucose

500

What dietary changes can help manage BG levels during exercise?

What are eating balanced carbs, protein, and avoiding high glycemic foods pre-exercise?

500

What documentation is required for blood glucose levels

What is recording all blood glucose values and changes during sessions

500

Why is reinforcing hydration crucial before, during, and after exercise?

What is preventing dehydration, which can worsen hyperglycemia

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