Show:
Get to the Point (about injection technique)
Let them Eat Cake! (Food and DM)
Don’t Sweat the Lows
Landmines (Hyperglycaemic Emergencies)
Myth Busters (Insulin Types and Action Profiles)
100

- glycemic (glucose) variability
- hypoglycemia (unexplained)

What is the impact of injecting into a lipohypertrophy? 

100

Soluble fiber (lentils, beans, psyllium)

What type of fiber reduces LDL cholesterol?

100

Pop, Juice, Honey, Dex 4, Glucogel are …

What are acceptable treatments for hypoglycemia less than 4mmol/L?

100

  1. infections

  2. increased length of stay

  3. readmission

list three complications of hyperglycemia in hospital

100

Long acting and works over 24-72 hours

What is basal insulin?

200

- Poor site rotation
- Too much force
- Extended needle use (not changing the needle with each injection)

What is causes lipohypertrophy, according to 2020 Fit4 guidelines?

200

Protein and carbohydrate

  1. Peanut butter and toast (bread)

  2. Crackers and cheese

  3. Nuts and plain yogurt

What are examples of healthy snacks?

200

  1. Retest their blood sugar after 15 min

  2. Have a carb and protein snack if meal is more than an hour away and blood sugar is more than 4 mmol/L

  3. Repeat treatment if blood sugar is less than 4mmol/L after the first treatment

After treating a low blood sugar list 3 things a patient should do

200
  1. polyuria
  2. polydipsia

  3. polyphagia






List the three most common symptoms of hyperglycemia

200

  1. Elevated ketones

  2. DKA

For someone living with type 1 diabetes what complication can occur, in as little as 4 hours, if insulin is held?

300

- Arms (under arm)
- Buttocks
- Abdomen
- Thighs (out)

What are acceptable sites for insulin injection?

300

¼ protein, ¼ carb (starch), ½ plate veg

What is the Healthy Plate Method?

300

3/4c pop/juice; 1tbsp honey, 3 tsp sugar in water, 4 dex4 tabs

What are 15g of fast acting sugars

300
  1. IV insulin
  2. IV fluid

  3. Potassium replacement

Diabetic Ketoacidosis treatment requires what three things?

300

  1. Check urine or blood ketones immediately

  2. give correction with bolus insulin if ketones present

What do you do for type 1 diabetes if blood glucose is above 14 mmol/L?

400

4 mm or 5 mm autoshield duo

What are acceptable insulin pen needle sizes for injection?

400

  1. Pop choose low carb bubbly (Perrier)

  2. Juice choose fresh fruit

  3. Fried choose baked

  4. White rice choose brown rice

  5. Cold cereal choose hot oats

  6. Chips choose popcorn, nuts

What are alternative healthy options for different unhealthy snacks?

400

More than 5mmol/L

What is the acceptable blood sugar range when driving?

400

Normal or mildly elevated blood sugars with abnormal electrolytes, +/- ketones, caused by dehydration or SGLT2i

What is euglycemic DKA

400

  1. Inject sc insulin 1-4 hours prior to stopping IV insulin

  2. Risk of DKA or elevated ketones

What do you ensure prior to stopping IV insulin?
500

90 degrees

What is the degree at which you inject the insulin pen needle?

500

  1. Chicken breast

  2. Fish

  3. Lentils, beans, legumes

  4. Peanuts, nut butters

  5. Cheese (in moderation)

  6. eggs

What are some healthy sources of protein?

500

A severe hypoglycemia (low blood sugar) of XX mmol/L should be treated with XX

less than 3mmol/L; 30 g of fast acting carbohydrate (2 glucose gel packs, 2 juice cartons, etc.)

500

  1. HHS and/or DKA

  2. Increased mortality and death

What are complications of hyperglycemia?

500

  1. Humulin R, Regular insulin, Toronto insulin, short acting

  1. What type of insulin is used for IV administration?