Diabetes Teaching Plan (Sandy

Question 1

what condition causes a diabetic coma? list 5 examples

Answer 1

1. severe hypoglycemia
2. diabetic keto-acidosis
3. diabetic hyperosmolar syndrome
4. Risk with insulin therapy or insulin secratogogue medication
5. Alcohol

Question 2

why recommend Pts with T2DM to use insulin Tx? give 3 reasons

Answer 2

1. physiological mimetics
2. avoid complications
3. more effective than oral medication

Question 3

T/F Carb counting for insulin Tx does not include the content in alcohol
& explain

Answer 3

T

• EtOH tends to lower PG after a few hours of drink
• carb content is compensated with the hypoglycemic trend

Question 4

T/F unsweetened natural juice is a better choice than sweeten beverage for DM Pts. It is good to often consume unsweetened natural juice as it is high in nutrients.

Answer 4

F

yes, it is better in terms of carb content. However, it does contains carb that is rapidly absorbed, so please avoid in general, except illness or hypoglycemia.

Question 5

list 4 basic rules set by Diabetes Canada

Answer 5

4 out of 6

1. eat 3 meals/d at regular times, no more than 6 hrs apart
2. limit sugar and sweets
3. limit high fat foods
4. eat more high-fibre foods
5. drink water
6. add physical activity

Question 6

T/F We discourage T2DM Pts to take EtOH drink because of the glycemic effect is not desired.

Answer 6

F

—– because of the high empty calories in EtOH, not glycemic effect

Question 7

There are two target groups of QC Meal Planning Booklet. They are___

Answer 7

1. Pts on a conventional insulin plan

2. Pts who needs to control portion sizes and try to lose Wt

Question 8

Adults with DM may substitute added sugar with other carbohydrates_______ up to a maximum __________ intake, provided_______ of BG, lipids, and body Wt is maintained

Answer 8

• as a part of mixed meal
• 10% of total energy
• adequate control

Question 9

T/F medication and insulin therapies are the effective approaches to treat Pts with both types of DM

Answer 9

F
Both effective to T2DM

only insulin Tx for T1DM

Question 10

How many carb counts in a product containing 35g carb with 5g fibre?

Answer 10

2

(35-5)/2

Question 11

when you would like to help your Pt individualise the goals of treatment, plz list three questions you may ask first.

Answer 11

3 out of 5

1. What do you know about diabetes?
2. Do you know how to treat hypoglycemia?
3. Are they experiencing any symptoms of high or low BG?
4. Can you tell about some experience with managing the diabetes if you have had it for years?
5. What are their goals to manage their diabetes?