1
Fetal development may be complicated because of this condition
Gestational Diabetes
How long after a patient is given Lispro would you expect to see hypoglycemic effects?
2 hours
What do these all have in common: Acromegaly, malnutrition, Cushing's syndrome, patients receiving high doses of corticosteroids for disease maintenance
All could have diabetes as a related dx
The patient is Rx Lispro and NPH, which do you draw up first?
Lispro
Name 2 common adverse effects of Metformin (glucophage)
N/V, anorexia, abdominal cramps, flatulence, diarrhea
If ketones are present, what is required?
Insulin
Two actions that should be taken consecutively in the event of hypoglycemia.
What is consuming 15 g of carbohydrates and rechecking blood glucose in 15 minutes?
Pt education, understanding and direct participation are key components of __________
Success
Your patient is inpatient following surgery and is prescribed a sliding scale insulin in addition to their previous oral antidiabetic. They are refusing the sliding scale-what pt education can you provide?
Your body is under stress, this could be temporary due to the stress and will be re-evaluated by your pcp once you have recovered
What precaution should be taken in a patient that takes Metformin that has a procedure planned involving radiopaque dyes and why?
D/C 24-48 hours before procedure as well as 2-3 days post-procedure until normal renal function because Metformin combined with IV dyes can induce temporary renal insufficiency.
An insulin that should not cause concern if it appears cloudy/milky in the vial.
What is insulin NPH?
This type of diabetes is more prevalent in people that are overweight, have a genetic predisposition, and has an increased incidence in women
Type II
Patient who has been NPO for 15 hours for a procedure c/o headache and shakiness and is extremely irritable. V/S are WNL, and a one touch glucose reads 50 mg/dL. Which action is most important for the nurse to take
Administer glucagon SQ
Which lab study is best determined with an 8-10 week control?
Hemoglobin A1c
The action of this drug class is to stimulate the release of insulin from beta cells of the pancreas
Sulfonylurea
Women need to be reevaluated postpartum to determine their classification with respect to glucose tolerance with this disorder
Gestational Diabetes
What % of all pregnancies end up with gestational diabetes?
7%
Fasting plasma glucose (FPG) is the preferred screening in ______ &________
children & non-pregnant patients
Lispro is a rapid-acting insulin, when is the best time to administer?
within 10-15 min of eating
These medications in the incretin-mimetic agents class have an action that increases serum insulin and reduces glucose concentrations, delays gastric emptying, and reduces appetite
Trulicity, Victoza, and Ozempic
These symptoms indicate which type of diabetes: sudden weight loss, increased thirst, excessive hunger and ketoacidosis
Type I DM
You'll test urine for this when illness occurs, during pregnancy, and when the blood glucose is above the usual range
Ketones
This type of insulin has an onset of 10 min, peaks at 1-3 hours and has a duration of 3-5 hours
Rapid-Acting, analogs
How do you store insulin before opening and after? When do you discard?
Before-refrigerator, after-room temperature; discard 30 days after opening
This medication is in the antihypoglycemic agents class and breaks down stored glycogen to glucose. It is used to treat hypoglycemic reactions.
Glucagon