Management
Methods diabetics may use to manage diet modifications
carb counting, plate method, glycemic index
increase water intake when taking these drugs
SGLT2's
Recommended amount of exercise per week
150 mins of moderately vigorous exercise
Sick day management
Stress of illness=increased Blood glucose level
Regular meal plan
↑ Intake of fluids
Continue oral agents and insulin
Frequent monitoring of blood glucose
Pediatric considerations
Educate family, caregivers, teachers on management
Involve the child to increase compliance
brittle diabetics may require additional assistance
Diabetics should avoid this to avoid hypoglycemia
Alcohol
Geriatric considerations
Hypoglycemia unawareness
Limitations in physical activity, manual dexterity and visual acuity
Education, slower pace
Benefits of good glucose control
Decreases infections, improve wound healing
Decrease intrahospital mortality
Decrease length of stay
Decrease likelihood of admission to critical care
Improve outcomes after surgery, MI, stroke
Pre-op and Post-op care
Pre-op
Be aware of omission of food, H2O, insulin/diabetic meds; may need to omit longer acting drugs
Post-op
Stabilize condition
Control diabetes
Prevent infections and promote wound healing
Continuous glucose monitoring?
-check pt, check pump
pt symptoms should correlate
review proper use and maintenance