Food and Nutrition
Trouble Shooting
Complications
Surprise!!
Fun with numbers
100

How many grams of carbohydrates in 1 package of graham or saltine crackers?

What is ~ 10 grams.

100

Ms. Smith complains of feeling sweaty, dizzy, and not feeling right. What do you do?

What is check her blood sugar immediately. If it is < 70mg/dl, treat for hypoglycemia. 4oz juice, wait 15 minutes and if cont less than 70mg/dl treat again.

100

Diabetes is the leading cause of this chronic condition.

What is chronic kidney disease?

100

People with diabetes are known to have a ______ risk of 30-day readmission following hospitalization?

a) Higher

b) No difference

c) Lower

What is higher?

100

This is the target range for blood sugars while in the hospital in NON-CCU patients.

What is 80-180mg/dl?

200

A CCD60 diet has this many grams of carbohydrates per meal.

What is 60?

200

Your patient's blood sugars are consistently over 180mg/dl despite being on insulin. The best action would be to do this. 

What is call the doctor to inform him/her about the glucose levels?

200

Not eating and taking insulin can cause this. 

What is hypoglycemia?

200

Medical costs are _______ as high in people who have diabetes than those people who do not have diabetes.

What is twice?

200

An HbA1c value > 6.4% can be a diagnosis of this metabolic disease.

What is diabetes?

300

Your patient refuses to eat and is scheduled to receive 5 units of Humalog Nutritional insulin with meals. You do this.

What is HOLD nutritional insulin?
300

Your patient is on a carb controlled diet but is asking for snacks 3x daily. You should do this.

What is call the RD to have carb-appropriate snacks fit into their food plan?
300

Steroids such as Prednisone can cause this. 

What is hyperglycemia?

300

These 3 things are needed to be diagnosed properly with DKA.

What is:

1. D = diabetes

2. K = Ketones in the urine

3. A = Acidosis (pH < 7.30)

300

Hypoglycemia is defined as glucose less than this number. 

What is less than 70mg/dl?

400

8oz apple juice has this many of grams of carbs in it.

What is 26g carbs?

400

Your patients blood glucose is running 180-200's in the morning despite getting 15 units Lantus at night. 

The doctor may want to do this to achieve normoglycemia. 

What is increase nighttime Lantus dose? 

**HS Lantus dose will effect morning BG the most. Good way to see if the Lantus given is the right dose is by watching fasting BG. 

400

Your patient is ordered the same Lantus nighttime dose they take at home and isn't eating very well b/c they don't feel well. You notice their blood sugars are running ~90's in the morning. 

This could happen if the same insulin regimen continues in the hospital. 

What is hypoglycemia?


What to do? Call the doctor asap - Lantus likely needs to be decreased by 20%.

400

Over 30 million adults have diabetes in the US and 1 in ____ don't know they have it.

What is 4?

500

Carbohydrates, fat, or protein affect blood sugars the most. 

What are carbohydrates?

500

You walk in to check on a call light and a patient asks for crackers, pudding, juice. 


You should do this before giving it to the patient.

What is check their diet before giving them food?


 

**Crackers and puddings, etc. will increase blood sugars making it very difficult to control blood BG. 

500
Continuing with Glipizide (Sulfonylureas) while in the hospital places pt at high risk for this.

What is hypoglycemia?