Diabetes
What hormone is in not produced or production is impaired in a diabetic patient?
Insulin
When is a carb count used?
with eating
Which type of diabetes is typically diagnosed in childhood?
Type 1
What is a normal glucose level?
80-100
What blood test determines if a patient has prediabetes or diabetes?
Hgb A1C
In a healthy patient, insulin is produced when what type of food is consumed?
carbohydrates
When is a sliding scale used?
with meals and bedtime
This type of diabetes always requires insulin
Type 1 Diabetes
Cold and clammy
Describe neuropathy. What causes it? S/S?
Damage to blood vessels
pain and burning in feet and hands
If at 8:00 am the patient receives rapid acting insulin, which peaks in one hour, when is the patient most likely to have a hypoglycemic reaction?
0900
Blood sugar is 229. How much insulin according to the sliding scale?
<150 0 units
151-200 1 unit
201-250 2 units
251-300 3 units
301-350 4 units
351-400 5 units
>400 6 units and call MD
2 units
Describe a neonate where the mother had gestational diabetes.
large weight
What is the treatment for prediabetes?
life style changes
Why does a diabetic patient have decreased wound healing?
poor circulation
Using the C,C,C,C method, explain how to mix insulin.
Cloudy, clear, clear, cloudy
Who determines that carb count ratio and the sliding scale?
The provider
Type one diabetes is an ____________ condition, where the body attacks itself.
autoimmune
Why do patients struggle with staying on metformin?
diarrhea
What are the three polys of hyperglycemia?
polyphagia
polydipsia
polyuria
What is the order of mixing insulins? Use the insulin names.
NPH, Regular, Regular, NPH
N, R, R, N
What does a carb count of 1:6 mean?
one unit of insulin for every 6 carbs
What are 3 factors that a patient with type 2 diabetes can improve?
healthy diet
blood pressure
cholesterol numbers
The most common PO medication used to treat Type 2 diabetes
Metformin