Diabetes - Think, Check, Act

Question 1

what blood glucose is desirable in the inpatient setting?

Answer 1

6-10

but 4-12 is okay

Question 2

what is the most common route of insulin administration in hospitals?

Answer 2

subcutaneous

Question 3

what do patients need to ensure they do when injected subcutaneous insulin?

Answer 3

rotate the injection site with each injection

Question 4

what can happen if patients use the same site too often for insulin injections?

Answer 4

lipohypertrophy

Question 5

what is the definition of hypoglycaemia?

Answer 5

blood glucose <4 mmol/L

Question 6

what is the treatment of hypoglycaemia in patients that can swallow?

Answer 6

15-20g of quick acting carb such as

glucojuice
glucotabs
pure fruit juice

Question 7

who should not receive pure fruit juice for hypoglycaemia?

Answer 7

patients in renal failure

Question 8

what is the treatment of hypoglycaemia in drowsy or confused patients?

Answer 8

glucose gel