Diabetes Self Care Flashcards Preview

PM3B: Autumn > Diabetes Self Care > Flashcards

Flashcards in Diabetes Self Care Deck (17):
1

What are the self management activities in diabetic patients

Self monitoring of blood glucose, blood pressure, retinal screening carried out

Targeting goals tailored to patient: foot care, weight loss, injection technique

2

What are the positive outcomes of self management

Reduction in A and E visits

Better communication between healthcare professional and patient

Better symptom control and quality of life

Greater independence and patient satisfaction

3

How do you provide education to diabetic patients, and the two acronyms to support it

Structured education at time of diagnosis with annual reinforcement and review

Helps increase adherence

DESMOND- diabetes education self management for ongoing and diagnosed

DAFNE- Dose Adjustment For Normal Eating Regimen

4

What are diabetic symptoms again

Always tired
Frequent urination
Sudden weight loss
Wounds that won't heal
Sexual problems
Always hungry
Blurry vision
Numb or tingling hands or feet
Always thirst
Vaginal infections

5

What number should a fasting blood glucose level be

7.0mmol/l or more

6

What number should a plasma glucose level be after ingestion of 75g glucose

>11.1mmol/l or more

7

What level should the blood glucose be after monitoring

4-9 mmol/L

8

What level should the HbA1C levels be

48mmol/mol (6.5% or less)

9

What should you monitor for in diabetic patients

Signs and symptoms of hypo/hyperglycaemia

Signs and symptoms of chronic complications

Blood glucose levels

HbA1c levels

Cardiovascular monitoring- BP and cholesterol

Urine proteins

10

What are the treatment goals in diabetic patients

Improve life quality

Short term prevention of hypo/hyperglycaemia

Prevention of long term complications

Reduced Mortality

11

What is lipohypertrophy

Lumpy injection site that can affect absorption

12

What are the storage requirements for insulin products

If not in use, can be stored in a temperature between 25 to 28 degrees

Normally such be stored in fridge for future use between 2-8 degrees

Insulin can be kept at room temperature 4 weeks in use

Open vials or pre-filled pen must be discarded after 28 days

13

What is an insulin passport

Given to a patient receiving insulin

Carries information on patients current insulin preparation and emergency information section

14

What are the sick day rules that diabetic patients should follow

Illnesses generally increase insulin requirement

Patients should be provided with urine strips for ketone testing (ketostix)

Glucagon injection- for members with severe hypoglycaemia

Never stop taking insulin

Continue to drink plenty of water and have diet with more fat and surgery food

15

What are the driving complications if you're a diabetic patient

May need to notify DVLA depending on treatment and license type

Must avoid hypoglycaemia

Insulin users must check blood glucose at 2 hour intervals before driving and on long journeys

16

What should you do if you suffer a hypoglycaemic episode whilst driving

Stop vehicle off in safe place and switch off ignition

Eat or drink suitable sugar source

Wait until 45 minutes for blood glucose to return to normal before continuation of journey

17

What vaccines such a diabetic patient get

Flu vaccination every autumn

Pneumococcal vaccination against pneumonia